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2017-10-12I Calhoun County Commissioners' Court— October 12, 2017 (CAL H O UN COUNTY C®MMISSIONE S' (CO U]L T REGULAR 2017 TERM z OCTOBER 12, 2017 BE IT REMEMBERED THAT ON OCTOBER 12, 2017, THERE WAS BEGUN AND HOLDEN A REGULAR TERM OF COMMISSIONERS' COURT. 1. CALL TO ORDER This" meeting Was calledto order at 10 00,AA 2. ROLL CALL THE FOLLOWING MEMBERS WERE PRESENT: Michael J. Pfeifer David Hall Clyde Syma Kenneth Finster Anna Goodman Catherine Blevins County Judge Commissioner, Precinct #1 Commissioner, Precinct #3 Commissioner, Precinct #4 County Clerk Deputy County Clerk 3. INVOCATION & PLEDGE OF ALLEGIANCE (AGENDA ITEM NO. 2 & 3) Invocation — Commissioner Finster Pledge to US Flag & Texas Flag — Commissioner Finster Page 1 of 28 I Calhoun County Commissioners' Court— October 12, 2017 4. HEAR REPORT (AGENDA ITEM NO. 5) From Memorial Medical Center Jason Anglin spoke on this matter. Page 2 of 28 Memorial Medical Center - Port Lavaca, Texas CEO Report September 21, 2017 Thank you to Staff First of All I would like to express appreciation to the staff for all the hard work and dedication preparing for, during and after Category 4 Hurricane Harvey. Financial Results: In August, we had a Net Loss of $91,626 decreasing 2017 YTD to a loss of $37,463. Up until Hurricane Harvey, August was a very strong month with our second highest census and revenue month for the year. However, with Harvey impacting normal operations the month ended with lower census and volumes in most areas compared to July. Supplemental Programs updates and IGT's As Harvey approached I received HHSC's request for MMC's IGT for final payment for 2017 UCC Program. I entered the IGT for $662,212.85 and we received $1,511,211.43 back in September. MMC has now repaid the $2,550,665 borrowed from the County for the NH supplemental payment program. Imaging Updates: Mammography Before Harvey, the next step for the 3D approval was to have the physicist come onsite and assist MMC with images needed for FDA approval. The physicist has completed his part and we are waiting on final FDA approval. CAT scanner We are targeting October 23`d to start install. We will have mobile CT Service stating the 23rd of October for approximately two weeks. Information on Board Items: 1) Proposed Roof Replacement Phase One. We have obtained three proposals for replacement of roof section one. With Harvey, most of the roof leaks were in this section. 2) Approval of change to Medical Staff Bylaws— We need to make one minor addition to our Med Staff Bylaws to meet new State requirements for our OB Labor & Delivery program. 3) Presentation on Hurricane Harvey Damages— Fortunately, the damages the hospital occurred I would classify as minor. I'll give a short overview of the damages. Closed Session: We have closed session posted for Legal. Respectfully, r Jason Angli ,CEO Memorial Medical Center Memorial Medical Center Financial Report For the Month of: August 2017 overview: Our bottom line for August was a loss of $91,626 decreasing our YTD to a loss of $37,463. Prior to Harvey, August was looking very favorable as census was much higher and volume was strong in outpatient services as well. However, with Harvey impacting normal operations the month ended with lower census and volumes in most areas compared to July. Under the property insurance we do have business interruption coverage. We have received the needed forms form the insurance company and will begin completing the required documentation. From that I would anticipate some reimbursement that will help lower the loss. We are also filing forms with FEMA. Other Financial Notes: Clinic Financial reports continue to be a work in progress. But we are making progress. We had calls with EMD's and are now using their recommending reports for recording of the revenue and adjustments. I had planned to spend more time fine tuning the clinic reports, but have been delayed with Harvey. Statistics: Overall, most volume was down in August. Average daily census was down 16.2% to 9.55 from 11.39 in July. ER volume was down 7.9% with 698 visits, in comparison to June's 758. Hospital outpatient visits were down 9.9% with 1,648 visits. Memorial Medical Clinic volume was also down 11% to 1,578 visits. Imaging Procedures decreased to 1,152 in August from July's 1,231, a decrease of 79 procedures or 6.4%. Laboratory procedures also decreased for August to 28,389 compared to July's 31,017, a decrease of 8.5%. The number of babies born at Memorial Medical Center in August was 10 up from 5 in July. Volume was up even though several of expected mothers delivered elsewhere as a result of the evacuation for Harvey. Balance Sheet Highlights: ASSETS Bank Accounts Cash and Investment balances ended the month at $5,742,063, of which $2,439,966 is Cantex money. This leaves the hospital with $1,985,403 in the Operating account, $816,594 in the Private Waiver account, and the $500,000 CD. At the end of August, we had 55.1 days of cash expenses on hand in hospital funds. Accounts Receivable Patient Accounts Receivable balances were $9,997,597 for the hospital and $587,105 for the clinic. Accounts Receivable — Other The balance in Other A/R decreased to $3,518,305. Accounts Receivable Nursing Home The Cantex nursing homes ended August with $5,209,793 in receivables. Accounts Receivable Est. 3rd PartV Paver Settlements Our books reflect a net due from third party payers of $483,484. This consist of $167,603 for 2016 based on 2016 filed cost report and $317,477 which is an estimated amount due from Medicare for 2017 based on our monthly mini -cost report. There is also a couple of small 31d party payable accounts totaling $1,596 in the totals. For 2017, volume continues to be lower than during our last cost reporting period driving the receivable. LIABILITIES Accounts Payable The balance in payments due to vendors at the end of the month was $1,107,640 down from $1,144,403 in July. Notes Payable to Calhoun County— In July, we borrowed $2,550,665 for IGT transfer for the MPAP period 3 Nursing Home Program. CMS in August rejected HHSC's plan for the program. HHSC in August repaid the funds to MMC and MMC has repaid the County. Due to Cantex The balance due to Cantex increased to $7,650,027. Accrued Expenses We carried accrued payroll and benefits payable to hospital employees totaling $1,073,472 up from 998,066 in August. Accrued Intergovernmental Transfers IGT liability is up to $1,146,468 at the end of August. Accrued Payable — Est. 3rd Party PaVer The hospital changed to a receivable in February, so there is no balance in this account. Leases Payable The hospital has $338,125 in leases which $62,381 is due in 2017. Long Term Debt, Net of Current: This consist of $2,803,027 in Pension liability and $275,744.43 in long term portion of leases. Current Ratio The ratio between our current assets and current liabilities is 1.6 at the end of August. This is lower than our benchmark of 2.3 Income Statement: Gross patient revenue for hospital and clinic was $5,345,105 which is an increase of $35,403 from August. Revenue Deductions were at 66.6% compared to 61.4% in July. Total expenses were down from July by $189,627. This was driven by: • Salary expense was up by $18,552 • Benefits and PR Taxes cost were down by $67,764 (lower employee health claims) • Professional Fees were down by $70,045 • Purchased Services were down by $28,184 • Supplies were down $52,723 • Insurance was up $7,251 • Utilities were down $1,426 • Other Expenses were up by $4,712 • Depreciation was the same. Memorial Medical Center Inpatient Volume Indicators _... .._.... _...Admissions byUnit _.... �� �9 909 ' 59 t59 800 � �. i 57 700 x--189 X 81 81... 600 500 '.. 400 300 200 ''. 599 662 .517 100 0 2015 YTD 201GYTD 2017 YTD a Medical/Surgical/ICU ®Obstetrics r3 Swing bed Admits Patient Days by Unit '.. 3,500 14801 X401 3,000 F qql 2,500 S —119, .. 136 2,000 1,500 1,000 2,352 2,507 .2.069 500 0 2015 YTD 2016WD 2017 YTD BMedical/Surglcal/ICU BObstetrics [.Swing Bed Average Daily Census 14.00 1,98] _. 1.65J 12.00 i 0.791 _ 11.81_ 10.00 10.88 0.56 8.00 _._ 4.00 9.68 10.32 _ 8.51 2.00 - 0.00 2015 YTD 2016 YTD 2017WD r!Medical/Surgical/ICU NObstetrics ©5wing8ed Average Length of Stay _ 9.00 118.14 177N 8.00 -1- Memorial Medical Center Operating Statistics 13 -Month Trends Outpatient Statistical Trends 2,121 102 2 ,, 2091 , 2,029 2,015 1982 1,962 1,933 1,939 1,920 1829 2,000 1,648 11,000 ']26'__.]43 684-_.__635. _.72 777.. _.673 810_....944 .__.945... 718 ...-758 698 - 500 564 518 510462 445 465 476 581 451 472 519 401 3130 0 ___ _. _.._.. --___. . __- --- __. ' ---- _- --... Aug -16 Sep -16 Oct -16 Nov -16 Dec -16 Jan -17 Feb -17 Mar -17 Apr -17 May -17 Jun -17 Jul -17 Aug -17 Outpatient Visits �Emergency Room Visits ^Speclalty Clinic Visits Total Surgery & Endoscopy 200 151 132 109 113 ,.105 _- ' p ...._92 _.. 131._.... gp. 1313.--'-69 ._135_ _ 98 _. 83 Aug -16 Sep -16 Oct -16 Nov -16 Dec -16 Jan -17 Feb -17 Mar -17 Ap07 May -17 Jun -17 Jul -17 Aug 17 Radiology Procedures 2,000 --- !1,0DO 1,773-_..1,650._.-- _"55]__-- _.__..__- 1,516 1 464 1,500 1, 1 1,461 ,4]0 _ _ 1 _ ,433 1,460 _ 1,307 1,231 1,152 0 Aug -16 Sep 16 0c1,46 Nov -16 Dec -16 Jan 17 Feb -17 Mar 17 Ai May 17 Jun -17 Jul -17 Aug -17 Total Laboratory Procedures!, ;.40,000 - __._ ______.-_....___ ..__._ __.._ 1".. 4' 37158 20,000 --32,002_.32,504- 386--'31,389. 32,2]9__30;816 3392]_ _30293 -29,262"- 31;017- 28,389- - --28,929- 29, 0 Aug -16 Sep -16 Oct -16 Nov -16 Dec -16 Jan -17 Feb -17 Mar -17 Apr -17 Ma,17 Jun -17 1u1-17 Aug -17 ".. Rehab Services Procedures 4,000 ..__-__ _... ___ __ _____ .. ._ .. _.._ _ - __.... __--.- 2,000 z,]so 2,052 1,8611,945 2,153 1,926 2,120 1 851 2,001 '. 0 _-..-__ 1,36]--1324_-1,511 - _.___ .._.. __. _... __ -..-_ 1,2]6 Aug -16 Sep 16 Oct -16 Nov -I6 Dec -16 Jan 17 Feb -17 Mar17Apr-17 May 17 Jun -17 Jul -17 Aug -17 -2- .nn .i bpm m o .+ m mm'm a-io m m a-�vm m� M M mro m:+1p oM�o � cm r e� ervo O1n No�mmvir wmv �roimti�rvmn O N to V ✓1 Vl O O m e Oi d' n b M r M O N tO V V O ti N m d' � r d' N N r ✓1 ul � V M ei m N �� m Om n M N M N V N � N N N O Oml N imYl m ei r YI b m O M Vl V O m e N m r N N N O m� m O M a-1 N M O d' O N V N O r n V uTl n M N m V m Nm n m m O y b N ti ai N m N n N V N n O N n n b N n y. O N M n n Dl V m O N W N m m M N Vl V N ul T n m V O ti rl V b V1 v1 �OC0 n O m M b m m n �i � ti N N M N T m N m n m r m M ai b N tOil b e{ N n m N Yl m cl ry n O v ry n m O a+ a s m m m n vm o m m m o 0 o b r �o N N :+ine rv0 maw onO1v 1pry n.'{i •-� mnmnc ry m `� atia n n O ay 4i d' N vmi N m `i wn moNoe aim onoe n mo ry ootiM �omcmM m`O me .=i nom mmm ry n m ,i ,.� I N ti�i i N IO o ry am tine m crve �n aO1 m ny m n �M N m N m r O Z b � N 0' N S M N m n < n N H ami a -I N M ai ei O~ lO m d' m V m n O N T -I N N ei N t0/1 m m ai Vt N d' Q Ol 0' N M -1 m d' p' b a0 a-1 rl ai rl N rtl Iq N m m o `.� Mmti o Te o:+ ma aa -i ooh b ti w noa=� amino vm ary mn �no a v em�o c o w.=imNti v n N„ry mmm m n b 'i O m M m O �O N C N r ry N a4 N a-1 a4 Q N V N .i m .i N ti V M b In In a-1 m O l0 N O V O n T O N n N b t0 r b O m N b O T C O r m [al V V N N T T M n N� ONi m � a4 N N n N R V N � Ol V m N O O ON N h O N m M m O N In `4 ai N ai ay N b N m m n h m O YI m N Q O^ a” m a N n b m M N m Ol V tpn N a N n a-1 aNi ai a4 nl ai m N n Vl V m �O a4 N m N M n N ^ b V O b r N m O m b r m V m N m N N b T N W V O n ti N ai V n„ m N W N m O M m YI `i m O1 O ai N m n In a4 O N n N n b N m N a a-1 a4 N m N ai W v E D u a v w a o c v o N N 3 F rD- o o z p � D C � mny u v vov c � p ..M� E nvYt� w � .csE • -3- Memorial Medical Center YTD YTD YTD 8/31/2017 Statistical Comparison 08/31/15 08/31/16 08/31/17 OVER (UNDER) %OF (8 months) (8 months) (8 months) 8/31/2016 CHANGE Total Admissions ER Admissions Total Patient Days AVERAGE DAILY CENSUS 747 802 635 595 505 397 3,047 3,099 2,646 (167) -20.8% (108) -21.4% (453) -14.6% Medical/Surgical/ICU 9.68 10.32 8.51 (1.80) -17.5% Obstetrics 0.88 0.79 0.56 (0.23) -28.8% Swing Bed 1.98 1.65 1.81 0.16 10.0% Total AVG Daily Census 12.54 12.75 10.89 (1.86) -14.6% Total AVG LOS - Acute Care 3.73 3.63 3.81 0.18 5.1% Observation - Patients 312 386 330 (56) -14.5% Observation - Patients from ER 0 287 198 (89) -31.0% Newborns - Births 87 73 60 (13) -17.8% MM Clinic Visits 7,471 14,551 15,675 1,124 7.7% Surgical Clinic Visits 270 751 0 (751) -100.0% Outpatient Visits 14,814 16,440 15,453 (987) -6.0% Emergency Room Visits 6,909 5,976 5,923 (53) -0.9% Specialty Clinic Visits 3,754 4,153 3,745 (408) -9.8% Total Surgery & Endoscopy 769 851 686 (165) -19.4% Total Laboratory Procedures 222,648 248,823 253,641 4,818 1.9% Radiology Procedures 6,471 5,745 5,508 (237) -4.1% Radiology OP - Clinic 0 964 983 19 2.0% Bone Density 95 99 118 19 19.2% Nuclear Medicine 119 132 105 (27) -20.5% Ultrasound 1,682 1,584 1,228 (356) -22.5% Ultrasound - Clinic 0 376 361 (15) -4.0% CT Scans 1,809 2,048 1,770 (278) -13.6% MRI 751 869 699 (170) -19.6% Mammograms 516 634 299 (335) -52.8% Total Radiology Procedures 11,443 12,451 11,071 (1,380) -11.1% Respiratory Therapy Procedures 7,589 6,271 5,656 (615) -9.8% Stress Test 36 52 29 (23) -44.2% EKG Exams 2,570 2,545 1,991 (554) -21.8% EEG Exams 16 0 4 4 #DIV/01 Sleep Studies 50 116 98 (18) -15.5% Total Respiratory 10,261 8,984 7,778 (1,206) -13.4% Rehab Services Procedures 13,594 13,962 16,022 2,060 14.8% Occupational Therapy Total 239 1,940 765 (1,175) -60.6% Speech Therapy Total 46 458 667 209 45.6% Behavioral Health Patient Encounters 0 2,974 1,442 (1,532) -51.5% Cardiac Rehab Procedures 0 0 352 352 #DIV/01 Pharmacy Total 98,072 95,989 83,637 (12,352) -12.9% Dietary Total 89,633 38,589 22,915 (15,674) -40.6% Pounds of Linen 154,300 100,791 88,497 (12,294) -12.2% m 0 N 0 a o o o n m v n M a n ate° H 1a0� N rl N V1 n v m b m b Nil m� ei o1 N Y�1 N l/1 O r �o N m m N aV Vmnl ^ Ol M � O m N b ei O� b 0 m m V M OO nl V OJ b N M NT T N N CNNN ulhM OOb w w w w w w .ti.-�mo em o n�oti am 6ne e :oma-�rnvi m 'm"aPom�ee ar m�rimrv�m�v, } enc m N M ul b V O N N V ti N m V� O NN aV} w r m m r w w ory e m o � m r ro � N Po N T b ei V N N C N OO RI M b V -5- v a mmwb .i of '^ yy � ti m es N C O w w w w N T b N ei N b� e e� Po T b b r `� M ul ei M ei N r1 VI m v mnwap� �mm w w w w �ry�`°r!p�ore �en�vna m NM N N N N N N vl n'1 .-� ry m m a o mn'^r!mrvb w w w w ab m n moo onry m m Ambm ^''ri gyp`. anm nm'nwo�m�n � oioryae�omm"no�`o� N�n ^""em w w w w '^.c m•i^rci ti'�mnvTicMnma - N N W T `i b IM�1 N N N b a 0 U b M w .www o �v meonmtimN raama:e n�,ry?�n"'ma�mo'^�na�mm m Y w w N N E Q O W a N 6 0 ✓ w p n Z 12 c0wva' a c a Q Q v v o c.m N 0 2 > oCO2 C C nQQYz��E d COa\ rno an d Yn an d �n ti. C 0 m m C c 6 ei m y m F- "4 '6 'O T `w - .� j « O ✓ - O✓ u F � � � m� F w � � � [9 Z O d Ja V F- I- Q N N T O u�i tU n W at `1 a. N '1 `1 ei rl N •i -5- 40.0 -- 30.0 — 20.0 _. 10.0 Memorial Medical Center Payer Mix Memorial Medical Center As of August 31, 2017 w Y v � �^ Y j � 23 Na 1 y IM. ' N N ri ri N N N rl N N ri ai 9 .Q O E 3 3 N a Q v Z � Medicare Medicaid _—,Blue Cross '--=Commercial Private--S,-HMO/PPO & Workers Comp IM. N N Ol W N m Yl W V O T' O N O1 MI NN r p O N `i N b VN1 NO W O N h r W m N N N N N V6 g b MI N N n t0 b V N m N N N vm O N OOl N N OJ K `1 Ol 0. N N m VI -7- T N Ol H N VTI b T tN0 IX � N ri V O V V N 1� T nl N O W N Ol h N N IC N Io O OI V) VI N h N et N OJ 1� N N N V Q 01 N n V 1� W V b V h m m V n C \ N N VI N W ei N V N H NI ID T n n �m oc Hary a mao m m mm e d I`rilo tin �.-i om Iri �rvm v ri 'moi n m viro P �^ rvmm oenm � InnN mN a �m m c m� E Ew t t4 t5v_ao u � �u ?r v-> go- -7- m e oe miN n mnn ,n{ N h N N •-1 W O r •4 Vl � yV� v •di 'i � d v1 M• p r� r' W N W b m d N b n b n •r{ N pt tp p • � O O m W V n W' V nl N � n m d' N r t� N •Y t0 •4 d N •dY � o d a n o m m n m ry m n ry m r n e n li e m s o m e o M r ul d No .+ n o eM N N N n N •ny 1� rdO ro Intl r0 d m V1 N m d m l/l b Ol O n ei V W n N •ni p INiI .6 O dM d m i p� O r• r lO r• O O O p M N m M ✓1 n VI N O O n n � N N b N O d V R N •-1 Ol N� M � d' b N f M N Ol W M Ill VN1 ul O ILMI •-I dN' `i O M m V� p •-1 •�4 n r n r� • r N m • N 0 M� N •N1 rMp p r OMl C m a Ll '{ n `y�I 6 Vl a o v N m •y V m ao yl yl O N •1 N C N ei lO � n N •d-1 n O1 r dM d M V V N O N d ^y ma mr"I� n nve d � oq vi v' vi - i Ioi o IF mN� P m m� e � Inrl p I"Irl am In o e .moi m m c M N N p vmi n a \ Vl O `i O vl O VI O T n n V N VI l0 ll m Y N b N N m ti O n b N V Ill ti a} Y1 n M •-I n O Ol Ol al, a � •4 t0 N � O N •mi •Y W � N T M V F OCLI d m N V ro j y = % 2 C r0 q — y z z= z a a � Memorial Medical Center Income Statement - Combined For the Month Ended August 31, 2017 Revenue Operating Expenses Current Period Year to Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD 1,000,522 1,335,758 1,354,846 Inpatient Revenues 8,577,647 10,686,067 10,694,850 3,070,186 3,027,944 3,438,162 Outpatient Revenues 23,169,011 24,223,553 25,147,927 1,274,396 1,674,609 1,772,777 ER Revenues 12,710,048 13,396,870 14,263,471 3,386,296 3,400,600 3,626,324 Resident Revenues 26,194,964 27,204,800 27,651,313 8,731,401 9,438,911 10,192,109 Total Patient Revenue 70,651,669 75,511,290 77,757,561 10,102 7,284 5,712 Revenue Deductions 30,059 58,271 47,059 2,712,668 3,115,309 4,027,690 Contractuals 23,390,999 24,922,473 28,264,749 156,006 153,058 87,380 Charity 985,028 1,224,463 950,698 50,407 53,595 56,793 Indigent Care 514,129 428,763 288,379 _ _ - Overhead - - - (121,696) (171,644) (189,717) DSH (2,010,725) (1,373,149) (2,076,820) 764,983 614,903 591,155 Bad Debt 5,113,268 4,919,221 5,114,086 3,562,368 3,765,221 4,573,300 Total Revenue Deductions 27,992,700 30,121,770 32,541,091 5,169,033 5,673,690 5,618,809 Net Patient Revenue 42,658,969 45,389,520 45,216,470 62,587 56,466 79,704 Other Operating Revenue 557,100 451,729 388,561 5,231,620 5,730,156 5,698,513 Total Operating Revenue 43,216,070 45,841,249 45,605,031 Operating Expenses Current Period Year to Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD 815,763 938,714 900,454 Salaries & Wages 6,589,555 7,509,715 6,933,857 163,096 303,810 316,986 Employee Benefits & PR Taxes 1,849,729 2,430,480 2,234,778 311,461 398,142 355,467 Professional Fees 3,074,534 3,185,138 2,823,716 235,068 318,996 288,320 Purchased Services 2,311,296 2,551,971 2,464,108 186,228 264,811 244,101 Supplies 1,959,006 2,118,487 2,120,729 10,102 7,284 5,712 Insurance 30,059 58,271 47,059 49,700 53,917 18,926 Utilities 395,016 431,333 354,050 84,622 77,708 104,351 Other Expenses 651,416 621,662 612,514 3,386,296 3,400,600 3,626,324 Nursing Home Fee 26,194,964 27,204,800 27,651,313 5,242,336 5,763,982 5,860,640 Total Operating Expenses 43,055,576 46,111,858 45,242,123 1,856,040 79,769 62,576 87,712 Depreciation 641,778 500,609 733,174 5,322,105 5,826,558 5,948,351 Total Expenses 43,697,353 46,612,467 45,975,296 (90,485) (96,402) (249,839) Net Operating Income J (Loss) (481,283) (771,218) (370,266) Non Operating Income / (Exp) 491 104 0 Investment Income 3,732 830 1,075 (1,633) (3,567) (2,783) Interest Expense (15,652) (28,537) (25,281) - 2,654 - Contributions and Grants - 21,233 500 - (324,049) (266,208) IGT Expense - (2,592,391) (2,139,824) - 462,927 380,298 Service Contribution by SOSET 455,741 3,703,415 3,056,893 - - 158,561 Nursing Home MPAP - - 1,576,777 (1,142) 138,069 269,867 Total Non -Operating Revenue 443,820 1,104,551 2,470,139 (91,626) 41,667 20,028 Total Net Income / (Loss) (37,463) 333,333 2,099,873 Memorial Medical Center Income Statement by Operating Unit For the Month Ended August 31, 2017 Revenue Operating Expenses Current Period Year to Date Nursing Nursing Hospital Clinics Homes Combined Hospital Clinics Hames Combined 1,000,522 - - 1,000,522 Inpatient Revenues 8,577,647 - - 8,577,647 2,754,833 315,354 - 3,070,186 Outpatient Revenues 19,798,962 3,370,049 - 23,169,011 1,274,396 - - 1,274,396 ER Revenues 12,710,048 - - 12,710,048 - - 3,386,296 3,386,296 Resident Revenues - - 26,194,964 26,194,964 5,029,751 315,354 3,386,296 8,731,401 Total Patient Revenue 41,086,657 3,370,049 26,194,964 70,651,669 10,102 - - 10,102 Revenue Deductions 30,059 - - 30,059 2,971,010 (258,342) - 2,712,668 Contractuals 22,002,077 1,388,922 - 23,390,999 156,006 - - 156,006 Charity 985,028 19,293 - 985,028 50,407 - - 50,407 Indigent Care 514,129 - 514,129 (121,696) - - (121,696) DSH (2,010,725) 2,157,729 - (2,010,725) 764,983 - - 764,983 Bad Debt 5,113,268 112,000 - 5,113,268 3,820,710 (258,342) - 3,562,368 Total Revenue Deductions 26,603,778 1,388,922 - 27,992,700 1,209,041 573,696 3,386,296 5,169,033 Net Patient Revenue 14,482,879 1,981,127 26,194,964 42,658,969 44,890 17,698 - 62,587 Other Operating Revenue 278,669 278,432 - 557,100 1,253,930 591,394 3,386,296 5,231,620 Total Operating Revenue 14,761,547 2,259,558 26,194,964 43,216,070 Operating Expenses -10- Current Period Year to Date Nursing Nursing Hospital Clinics Homes Combined Hospital Clinics Homes Combined 741,182 74,580 - 815,763 Salaries &Wages 6,024,778 564,777 - 6,589,555 143,440 19,656 - 163,096 Employee Benefits& PR Taxes 1,652,984 196,745 - 1,849,729 179,237 132,224 - 311,461 Professional Fees 1,917,150 1,157,384 - 3,074,534 203,769 31,300 - 235,068 Purchased Services 2,178,793 132,503 - 2,311,296 182,550 3,673 - 186,228 Supplies 1,871,978 87,028 - 1,959,006 10,102 - - 10,102 Insurance 30,059 - - 30,059 49,700 - - 49,700 Utilities 395,016 - - 395,016 81,074 3,548 - 84,622 Other Expenses 632,123 19,293 - 651,416 - 3,386,296 3,386,296 Nursing Home Fee - 26,194,964 26,194,964 1,591,054 264,985 3,386,296 5,242,336 Total Operating Expenses 14,702,883 2,157,729 26,194,964 43,055,576 63,769 16,000 - 79,769 Depreciation 529,778 112,000 - 641,778 1,654,823 280,985 3,386,296 5,322,105 Total Expenses 15,232,660 2,269,729 26,194,964 43,697,353 (400,893) 310,409 - (90,485) Net Operating Income (LOSS) (471,113) (10,170) - (481,283) Non Operating Income / (Exp) 491 - - 491 Investment Income 3,732 - - 3,732 (1,633) - - (1,633) Interest Expense (15,652) - - (15,652) _ - - - Contributions and Grants - - - - _ - IGT Expense - - - - _ - - - Service Contribution by SOSET 268,586 187,155 - 455,741 _ - - Nursing Home MPAP - - - (1,142) - - (1,142) Total Non -Operating Revenue 256,665 187,155 - 443,820 (402,034) 310,409 (91,626) Total Net Income/(Loss) (214,447) 176,985 - (37,463) -10- Memorial Medical Center Capital Acquisitions For the Month Ended August 31, 2017 Month Description Building Equipment Total 01/17 Sub Total January 02/17 Dell Power Edge R350 Server & Windows 2012 Physio Control Lifepak 20e Patient Monitor (4) BVI 9400 Bladder Scan & BVI 9x00 Mobile Care Sub Total February 03/17 Computers - March 2017 Clinic Furniture - Final Invoice from Staples PACS - Travel for Evident employee to setup PACS Sub Total March 04/17 Hopkins TI Telescope Lab Interface Upgrades Sub Total April 05/17 Computers - May 2017 Lab Interface Upgrade Sub Total May 06/17 N/A Sub Total June 07/17 MD Reports- GI Lab Documentation Software Computers - July 2017 Sub Total July 08/17 Computers -August 2017 Sub Total August Total -11- - 9,269 - 15,230 - 10,135 9,269 15,230 10,135 - 34,634 34,634 - 6,460 - 16,103 - 1,232 6,460 16,103 1,232 - 23,795 23,795 - 9,897 - 21,165 9,897 21,165 - 31,062 31,062 - 772 - 2,000 772 2,000 - 2,772 2,772 - 12,250.00 - 7,159.63 12,250.00 7,159.63 - 19,409.63 19,409.63 - 6,497.95 6,497.95 - 6,497.95 6,497.95 $ - $ 118,170 $ 118,170 \y d !rk/RR*;a ) \\\\ -12- Physician Revenue Trend Memorial Medical Center As of August 2017 Memorial Medical Center Clinic 011005 William Crowley 019000 Ric Arroyo -Diaz 022000 Peter Rojas 009293 Serina Danielson 000966 Thao Truong 041743 Angela Dobbins 005966 Carol Andrus 058001 CourtThurikill 002099 Traci Shefcik 041574 Frank Hinds 041596 Mercedes Schultz 000000 Michael Pfeil 009294 John Durst Hospitalist 130006 Hospitalist Port Lavaca Clinic 050001 John Wright 013001 Leigh Anne Falcon 008800 Nirtas Kwi Timu 001500 Jewel Lincoln 320001 Sharma Odonnell 012000 Jeannine Griffin Specialty Clinic 013000 Don Paul Bunnell 012100 Donald Breech 000404 Ayo Ad 070002 Richard Steinberg 525225 Azhar Malik MD 900000 Dakshesh Parikh 057006 A Qadri 2017 2017 YTD PRIOR YEAR TD $ 571,980 $ 4,830,574 $ 3,846,825 $ 392,983 $ 2,887,009 $ 3,357,889 $ 123,398 $ 1,550,186 $ 2,116,488 $ (802) $ 694,015 $ 1,823,257 $ 140,306 $ 1,311,580 $ 988,765 $ - $ 145 $ 829,412 $ - $ 116,232 $ 231,618 $ 54,087 $ 483,838 $ 357,585 $ 69,272 $ 650,542 $ 523,860 $ 174,577 $ 625,729 $ - $ 108,641 $ 144,108 $ $ 5,643 $ 6,369 $ - $ 1,370 $ 207,078 $ 2,914 $ 1,641,458 $ 13,507,404 $ 14,078,613 34% 31% 28% $ 519,812 $ 5,352,938 $ 5,852,005 $ 519,812 $ 5,352,938 $ 5,852,005 11% 12% 12% $ 388,050 $ 2,529,713 $ 2,871,017 $ 142,480 $ 1,459,468 $ 1,797,713 $ 170,275 $ 1,280,185 $ 1,508,936 $ 141,400 $ 1,397,041 $ 1,914,920 $ 28,400 $ 273,929 $ 323,637 $ 7,200 $ 154,844 $ 163,043 $ 877,805 $ 7,095,180 $ 8,632,775 18% 16% 17% $ 32,873 $ 402,343 $ 237,673 $ 67,252 $ 694,776 $ 619,486 $ 18,723 $ 641,286 $ 613,063 $ 6,628 $ 92,633 $ 126,525 $ 7,188 $ 38,560 $ 59,362 $ - $ 837 $ - $ - $ - $ 53,645 $ 132,664 $ 1,870,434 $ 1,709,755 3% 4% 3% -13- Physician Revenue Trend Memorial Medical Center As of August 2017 Other Ordering Physicians $ 381,074 $ August 2017 3,832,235 2017 YTD $ PRIOR YEAR TD Coastal Medical Clinic 8% 7% 8% Totals $ 4,872,839 $ 011000 Tim McFarland $ 44,806 $ 487,675 $ 662,296 000806 William McFarland $ 2,195 $ 96,014 $ 206,771 $ 47,001 $ 583,689 $ 869,067 1% 1% 2% Independent 006000 M S Lin $ 29,929 $ 195,997 $ 1,539,849 004000 G A Williams $ - $ - $ 20,257 310001 Michelle Cummins $ 46,024 $ 283,030 $ 494,513 330000 Nhi Le MD $ 282 $ 27,273 $ 26,054 $ 76,235 $ 506,300 $ 2,080,673 2% 1% 4% Other Medical Staff 065002 George Boozalis $ 44,886 $ 236,561 $ 174,887 $ 44,886 $ 236,561 $ 174,887 1% 1% 0% Total E/R Physicians $ 1,151,905 $ 11,629,673 $ 12,897,144 $ 1,151,905 $ 11,629,673 $ 12,897,144 24% 26% 26% Other Ordering Physicians $ 381,074 $ 3,233,096 $ 3,832,235 $ 381,074 $ 3,233,096 $ 3,832,235 8% 7% 8% Totals $ 4,872,839 $ 44,015,275 $ 50,127,154 -14- Memorial Medical Center Hospital Accounts Receivable Quality Indicators Accounts Receivable by Payor a,000,DDD ID,Dw,DDD e,on,9DD '. 6,Dw,ow asp lG Oc436 uo ,� Ott -IG Iam31 1 6�1J M11-1] A1111 May -IJ lun'1] luF1J Aug l] tl Meaf­ aeo.. e01ux 11— OCommestlal bInv. o, Medicare Aging< 60 Das Blue Cross< 90 Days 8]15 0096 06% 04% 84% 07% 86% 83.i 86Ye 90% 99% 08'6' _ D:6 `A.Mh 91% 92% 92R 09% 7 0 .G95 6o.mz 90.0% _. 50.0% 000k - 40D5 .W' ]OD4o Po.03i _ 1b Sb '+5 7 S 11 1 i1 11 41 S^ 1b ell •>' �a 1e 4 •1 y.Y or ar oc i� o Via• �Q �Y � i cfr ya ov' os'.'b as FN Medicaid Aging< 90 Days Commercial< 90 Days 91% 84% 9J% 93% 100DY. ]4% 07% BS% 019 05% 0B% J3G 84% 82% eTb ]]% I64i._. BOD% 80%5 r EEE F90% F90X _ _ 500% 30D4i _ 4D.Dx 400s 300% 30.mi'e 2P0% 306K _. f00% 100.4.6 ', b yb Y b 4 1 1 10 S� '� X10 Y 1 .Sb Y 4 •i 11 A '+1 11 T -15- Memorial Medical Center Clinic Accounts Receivable Quality Indicators Accounts Receivable by Payor eN dq 3W.00J '. Szp-16 O[\-16 ..aD3Ox-36 on -17 h631 Ma[ -1] Ap/-1] May 1] Jun -f] lu1-17 Aug1] PM.f— ndi.w W.1— ....1[[101 ®Riegle Vay Medicare < 60 Days Blue Cross < 90 Days 303.]%10E.3X 99A3 I3].9X 1193% 9].3X 962% 300.036 1W.Oi 64 8% ' 90.0% J6 b% 90.Po 69.63 ]0.E% 69.A'6 gp,p% 61.63 w.oX s4ax s43s Jou36 s93x_ -. sfi.ox - __ - Jo o% 4sFX E0 "WA_ W.OtS 1 30.0% 50'0% 40036'es .'es Z0 8 10.0% 10036 _ _ 1.14 Medicaid <90 Days Commercial <90 Days ' 109 ]X 4935Y0 9s 9% '. IOJ.OY 100.0% _ 90Ap6 $0 ]]6% 6]5% 6A]% 6]3X 63.6Ya 63 Z% JS Z% 783% ]].]/i ..M 663% 6303'e ., 0005 639% 62.9% S0.P/6 39 Z% ]]OAYfa 44.9% 42.9X O OX ag e 60A% a � 393% WD;o I'm ppp yg 300% f z00% So.mt `6 41 • ^ 4¢0 `ka;/M1 le �a1 li '�1 pbM1 4s'6 O e� O� 1 4°� !Pn PQ -16- Memorial Medical Center Accounts Receivable Agings Aging 1 0-30 1 31-60 1 61-90 91-120 121-150 151-180 181-365 Total Gross % Over 120 Days %Over 90 Days % Under 60 Days %Under 90 Days Total 2,238,383 276,769 134,872 78,072 13,300 33,623 114,609 2,889,629 5.6% 8.3% 87.0% Sep -16 5,003,232 1,684,955 1,190,084 957,025 590,514 327,473 1,414,746 11,168,028 20.9% 29.5% 59.9% 70.5% Ocb16 3,854,510 1,994,912 1,189,765 976,409 657,367 394,053 1,385,616 10,462,631 23.4% 32.7% 55.9% 67.3% Nov -16 3,835,674 1,958,170 1,156,705 784,610 627,780 416,255 1,404,652 10,183,847 24.0% 31.7% 56.9% 68.3% Dar -16 4,003,476 1,553,058 1,348,463 887,202 649,052 337,119 1,381,941 10,154,312 23.3% 32.0% 54.7% 68.0% Jan -17 4,561,199 1,469,951 1,100,920 982,629 476,477 353,442 1,059,659 10,004,278 18.9% 28.7% 60.3% 71.3% Feb -17 3,997,759 1,723,287 1,056,568 781,203 566,018 282,925 1,168,505 9,576,264 21.1% 29.2% 59.7% 70.8% Mar17 3,773,839 1,907,190 1,179,335 704,554 297,877 283,398 973,224 9,119,417 17.0% 24.8% 62.3% 75.2% Apr -17 3,596,810 1,887,117 1,343,950 698,284 391,335 182,383 958,124 9,058,003 16.9% 24.6% 60.5% 754% May -17 3,664,157 1,711,890 1,085,916 791,862 432,566 229,471 1,151,230 9,061,092 20.0% 28.7% 59.3% 71.3% 3on-17 3,969,048 1,754,014 1,170,853 743,100 444,307 267,135 1,008,115 9,356,572 18.4% 26.3% 61.2% 73.7% Ju1-17 4,046,347 1,934,970 1,108,644 650,999 470,901 273,275 1,048,009 9,533,146 18.8% 25.6% 62.7% 74.4% Aug -17 3,439,090 2,250,858 1,350,173 824,841 477,805 299,293 1,123,377 9,765,436 19.5% 27.9% 58.3% 72.1% C\Users\pavillafuerte\AppOata\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlo.1\177LUTGCP\Aft Monthly Analysts Board Packet -August 2017 Medicare Sep -16 2,238,383 276,769 134,872 78,072 13,300 33,623 114,609 2,889,629 5.6% 8.3% 87.0% 917% Oct -16 1,782,451 491,433 105,217 73,643 38,547 12,589 76,873 2,580,754 5.0% 7.8% 88.1% 922% Nov -16 1,459,837 353,735 161,088 40,725 42,752 6,075 48,866 2,113,077 4.6% 6.6% 85.8% 93.4% Dec -16 1,975,525 278,924 232,496 115,941 29,173 26,952 22,244 2,681,255 2.9% 7.2% 84.1% 92.8% Jan -17 2,386,450 285,860 149,700 155,427 119,244 38,280 52,875 3,187,835 6.6% 11.5% 83.8% 88.5% Feb -17 1,862,872 374,963 116,022 71,331 89,561 13,984 46,738 2,575,471 5.8% 8.6% 86.9% 91.4% Mar -17 2,107,406 436,774 230,248 69,511 20,078 25,536 60,966 2,950,519 3.6% 6.0% 86.2% 94.0% Apr -17 1,976,211 471,695 228,098 143,924 66,892 11,845 48,197 2,946,861 4.3% 9.2% 83.1% 90.8% May 17 1,872,077 421,809 148,604 65,904 34,477 27,215 24,922 2,596,009 3.3% 5.9% 88.4% 94.1% Jun -17 1,901,474 375,067 131,562 51,709 9,333 15,186 51,010 2,535,341 3.0% 5.0% 89.8% 95.0% Ju1-17 1,959,529 418,370 115,772 52,310 34,540 7,949 54,922 2,643,393 3.7% 5.7% 90.0% 94.3% Aug -17 1,565,207 548,410 143,762 55,787 29,744 17,895 40,975 2,401,780 3.7% 6.0% 88.0% 94.0% Medicaid Sep -16 649,306 158,291 82,162 126,424 52,555 29,130 117,012 1,214,880 16.4% 26.8% 66.5% 73.2% Ort -16 463,578 213,740 69,899 24,823 123,579 30,214 80,017 1,005,850 23.2% 25.7% 67.3% 74.3% Nov -16 615,528 306,644 124,202 4,785 6,393 64,969 41,720 1,164,240 9.7% 10.1% 79.2% 89.9% Dec -16 376,227 138,023 182,531 49,566 1,804 5,820 50,684 804,656 7.2% 13.4% 63.9% 86.6% Jan -17 427,073 109,557 83,221 109,745 32,115 240 49,129 861,079 9.5% 22.2% 68.1% 77.8% Feb -17 499,028 262,788 75,947 70,739 45,052 11,423 23,859 988,836 8.1% 15.3% 77.0% 847% Mar17366,982 152,054 132,383 55,197 32,554 31,887 31,866 802,924 12.0% 18.9% 64.6% 81.1% Apr -17 446,305 129,854 103,367 44,736 17,612 16,982 38,509 797,364 9.2% 14.8% 72.3% 85.2% May -17 379,502 80,220 47,861 17,651 7,005 4,153 19,719 556,121 5.6% 8.7% 82.7% 91.3% Jan -17 436,594 108,262 21,015 13,369 51,724 4,769 1,162 636,896 9.1% 11.2% 85.5% 88.8% Ju1-17 419,361 168,247 44,566 10,362 5,081 1,669 2,140 651,426 1.4% 3.0% 90.2% 92.0% Aug -17 460,814 355,303 115,759 32,474 7,570 2,527 2,963 977,411 1.3% 4.7% 83.5% 95.3% C\Users\pavillafuerte\AppOata\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlo.1\177LUTGCP\Aft Monthly Analysts Board Packet -August 2017 Memorial Medical Center Accounts Receivable Agings Aging 0-30 31-60 1 61-90 91-1200 121-150 1 151-180 1 181-365 1 Total Gross % Over 120 Days %Over 90 Days % Under 60 Days % Under90 Days Sep -16 BCBS 379,184 248,905 100,091 97,603 39,116 133,972 2,102,120 12.9% 17.6% 70.5% 82.4% Sep -16 551,700 95,897 59,279 31,910 35,779 22,053 43,506 840,132 12.1% 15.9% 77.1% 84.1% Oct -16 528,961 95,305 36,339 16,430 4,176 10,459 32,705 724,376 6.5% 8.8% 86.2% 91.2% Nov -16 480,790 137,719 13,697 18,179 12,453 3,703 25,252 691,794 6.0% 8.6% 89.4% 91.4% Dec -16 538,502 96,387 28,023 12,369 886 7,620 17,476 701,263 3.7% 5.5% 90.5% 94.5% Jan -17 320,493 84,311 20,250 14,367 5,700 2,621 15,451 463,205 5.1% 8.2% 87.4% 91.8% Feb -17 269,307 46,555 27,028 9,863 15,810 5,545 9,349 383,456 8.0% 10.6% 82.4% 89.4% Mar -17 247,112 75,199 12,097 22,972 1,057 8,981 23,522 390,939 8.6% 14.5% 82.4% 85.5% Apr -17 194,701 66,632 11,211 6,873 2,935 1,0$7 28,239 311,648 10.3% 12.5% 83.9% 87.5% May -17 242,780 26,109 17,740 10,674 1,381 2,735 32,665 334,083 11.0% 14.2% 80.5% 85.8% Jun -17 248,545 88,197 20,152 7,449 1,480 1,545 19,779 387,147 5.9% 7.8% BABY. 92.2% Jul 17 208,352 47,463 6,757 5,350 3,303 383 21,144 292,752 85% 10.3% 87.4% 897% Aug -17 164,226 16,122 25,208 5,446 1,896 3,303 19,975 236,175 10.7% 13.0% 76.4% 87.0% C:\Users\pavillafuene\App0ata\Local\Microsoft\Windows\Temporary Internet Files\Content.Out10>I\BLUTGCP\AR Monthly Analysis Board Packet -August 2017 Commercial Sep -16 1,103,249 379,184 248,905 100,091 97,603 39,116 133,972 2,102,120 12.9% 17.6% 70.5% 82.4% Oct -16 662,906 512,952 275,262 171,564 48,342 75,793 100,748 1,847,566 12.2% 21.5% 63.6% 78.5% Nov -i6 880,653 378,323 234,972 126,350 122,834 38,046 159,193 1,940,372 16.5% 23.0% 64.9% 77.0% Dec -16 772,735 317,472 198,039 104,827 98,905 59,512 96,494 1,647,983 15.5% 21.8% 66.2% 78.2% Jan -17 998,533 274,367 175,439 123,255 28,246 44,188 92,977 1,737,006 9.5% 16.6% 73.3% 83.4% Fab17 1,153,728 303,202 157,302 62,901 45,604 24,581 95,421 1,842,739 9.0% 12.4% 79.1% 87.6% Marv17 844,910 425,021 153,692 91,705 30,928 32,904 123,070 1,702,229 11.0% 16.4% 74.6% 83.6% Apr -17 745,420 490,323 268,383 97,507 74,921 21,913 130,255 1,828,722 12.4% 17.7% 67.6% 82.3% May -17 763,519 358,044 178,198 138,315 67,083 20,153 126,604 1,651,916 12.9% 21.3% 67.9% 787% Jun -17 800,121 347,650 176,569 77,169 97,604 39,049 68,539 1,606,701 12.8% 17.6% 71.4% 82.4% Jul -17 774,569 388,804 158,306 62,600 48,270 79,143 74,750 1,586,443 12.7% 167% 73.3% 83.3% Aug -17 674,104 448,688 191,443 154,611 47,357 29,752 113,532 1,659,488 11.5% 20.9% 67.7% 79.2% Private Pay Sep -16 460,588 774,813 664,866 620,527 391,277 203,551 1,005,646 4,121,268 38.8% 53.9% 30.01/ 46.1% Oct -16 416,613 681,483 703,046 689,948 452,723 264,999 1,095,273 4,304,085 42.1% 58.2% 25.5% 41.8% Nov -16 398,866 781,750 622,746 594,572 443,348 303,452 1,129,621 4,274,365 43.9% 57.8% 27.6% 42.2% Dec -16 340,487 722,251 707,375 604,499 512,285 237,215 1,195,043 4,319,155 45.0% 59.0% 24.6% 41.0% Jan -17 378,651 715,855 672,310 579,835 291,172 268,113 849,216 3,755,152 37.5% 52.9% 29.1% 47.1% Feb -17 212,825 735,778 680,269 566,369 369,992 227,392 993,137 3,785,762 42.WA 57.0% 25.1% 43.0% Mar -17 207,429 818,142 650,915 465,170 213,260 184,089 733,800 3,272,806 34.6% 48.8% 31.3% 51.2% Aprvll 234,173 728,613 732,890 405,244 228,976 130,587 712,924 3,173,408 33.8% 46.6% 30.3% 53.4% May -17 406,278 825,708 693,512 558,308 322,621 175,216 947,319 3,928,962 36.8% 51.0% 31.4% 49.0% Jun -17 582,314 834,839 821,554 593,404 284,165 206,586 867,625 4,190,487 32.4% 46.6% 33.8% 53.4% Jul -17 684,536 912,087 783,243 520,376 379,707 184,131 895,053 4,359,133 33.5% 45.4% 36.6% 54.6% Aug 17 574,739 882,335 874,001 576,522 391,238 245,816 945,931 4,490,582 35.3% 48.1% 32.4% 51.9% All Snsured Sep -16 4,542,645 910,141 525,218 336,497 199,237 123,922 409,100 7,046,761 10.4% 15.2% 77.4% 84.8% Oct 16 3,437,896 1,313,429 486,719 286,461 214,644 129,054 290,343 6,158,546 10.3% 14.9% 77.2% 85.1% Nov -16 3,436,808 1,176,420 533,959 190,038 184,432 112,793 275,031 5,909,482 %7% 12.9% 78.1% 87.1% Dec -16 3,662,989 830,807 641,088 282,704 130,768 99,904 186,897 5,835,157 7.2% 12.0% 77.0% 88.0% Jan -17 4,182,549 754,096 428,610 402,794 185,305 85,329 210,443 6,249,126 7.7% 14.1% 79.D% 85.9% Fog,47 3,784,935 987,509 376,299 214,834 196,026 55,533 175,367 5,790,503 7.4% 11.1% 82.4% 88.9% Ma1-17 3,566,410 1,089,047 528,420 239,384 84,617 99,309 239,424 5,846,611 7.2% 11.3% 79.6% 88.7% Apr -17 3,362,637 1,158,504 611,060 293,040 162,359 51,796 245,200 5,884,595 7.8% 12.8% 76.8% 87.2% May -17 3,257,878 886,181 392,404 233,555 109,945 54,255 203,911 5,138,130 7.2% 11.7% 80.7% 88.3% C:\Users\pavillafuene\App0ata\Local\Microsoft\Windows\Temporary Internet Files\Content.Out10>I\BLUTGCP\AR Monthly Analysis Board Packet -August 2017 Memorial Medical Clinics Accounts Receivable Agings Aging 1 0-30 1 33-60 61-90 91-120 121-150 151-180 1 181-365 Tetat Gross % Over l20 Dnys % 0ver90 Days % Under 60 Days % Under 90 Dsys Sep -16 Total 7,813 7,379 1,456 4,701 5,925 3,437 56,785 24.8% 27.3% 59.7% 72.7% Sep -16 286,4]] 120,496 82,392 84,]9] 61,400 16,426 291,839 943,826 39.2% 48.2% 43.1% 51.8% Oct -16 229,744 91,365 56,109 65,267 63,401 46,782 256,728 819,397 44.8% 52.7% 39.2% 47.3% Nov -16 221,125 72,735 45,069 42,296 8,616 30,591 351,596 772,027 50.6% 56.1% 38.1% 43.9% Dec -16 231,945 98,009 52,240 21,487 31,714 (4,732) 360,831. 791,494 49.0% 51.7% 41.7% 48.3% Jan -17 177,845 45,939 57,264 45,917 21,902 27,580 314,021 690,468 52.6% 59.3% 32.4% 40.7% Feb -17 269,462 85,013 35,008 53,331 19,610 21,687 292,038 776,148 42.9% 49.8% 45.7% 50.2% Mar -17 175,914 125,935 47,390 31,997 37,612 18,716 273,709 711,273 46.4% 50.9% 42.4% 49.1% Apr -17 145,546 93,733 96,893 37,133 28,917 26,811 267,720 696,755 46.4% 51.8% 34.3% 48.2% May -17 175,689 51,363 53,860 69,077 10,774 12,250 319,039 692,052 49.4% 59.4% 32.8% 40.6% Jun -17 204,495 59,325 28,792 31,725 50,647 17,575 268,259 660,818 50.9% 55.7% 39.9% 44.3% Ju1-17 188,913 77,816 36,857 18,734 8,625 29,129 142,000 502,074 35.8% 39.5% 53.1% 60.5% Aug -17 243,288 83,211 44,944 29,131 14,703 8,905 162,924 587,105 31.8% 36.7% 55.6% 63.3% C,\Users\pavillafueae\AppData\Local\Mlcrosoft\Windows\Temporary Internet F1les\ContentOutlo1 \9FUTGCP\AR Monthly Analysis Board Packet -August ]017 Medicare Sep -16 26,073 7,813 7,379 1,456 4,701 5,925 3,437 56,785 24.8% 27.3% 59.7% 72.7% Oct -16 5,501 3,022 1,320 1,947 854 5,770 6,049 24,462 51.8% 59.8% 34.8% 40.2% Nov -16 34,331 5,797 1,738 (6,845) (14,531) (8,473) 71,965 83,982 58.3% 50.1% 47.8% 49.9% Dec -16 72,724 5,752 2,396 (156) (5,069) (17,296) 58,749 117,100 31.1% 30.9% 67.0% 69.1% Jan -17 17,840 1,017 1,820 599 324 (365) (3,056) 18,179 -17.0% -13.7% 103.2% 113.2% Feb -17 42,441 1,388 1,009 1,100 309 324 (3,794) 42,828 -7.3% -4.7% 102.3% 304.7% Mar -17 23,433 1,151 - 225 433 30 (528) 24,744 -0.3% 0.6A 99.4% 99.4% Apr -17 16,507 6,599 720 65 488 105 5,592 30,075 20.6% 20.8% 76.8% 79.2% May 17 56,671 9,259 12,170 5,862 2,646 (377) 31,594 117,824 28.7% 33.7% 56.0% 66.3% 1un-17 17,406 4,659 582 (74) 515 30 (171) 22,948 1.6% 1.3% 96.2% 98.7% 1u1-17 30,481 6,143 6,327 299 (530) 9,116 322 52,157 17.1% 177% 70.2% 82.3% Aug -17 42,603 (3,362) 4,250 3,536 - (520) 9,747 56,255 16.4% 22.7% 69.8% 77.3% Medicaid 5ep-16 47,786 33,796 22,109 13,703 8,308 9,840 20,891 156,434 25.0% 33.7% 52.2% 66.3% Oct -16 34,553 16,425 13,851 12,511 6,064 1,098 6,024 90,527 14.6% 28.4% 56.3% 71.6% Nov -16 71,602 26,145 14,945 11,744 11,376 9,748 21,351 166,911 25.4% 32.5% 58.6% 67.5% Dec -36 40,821 49,718 25,879 10,227 8,188 3,678 29,892 168,403 24.8% 30.9% 53.8% 69.1% Jan -17 16,626 7,325 20,563 4,089 3,625 7,674 6,218 66,121 26.5% 32.7% 36.2% 62.3% Feb -17 33,792 16,271 7,698 17,132 3,292 2,726 9,970 90,881 17.6% 36.4% 55.1% 63.6% Mar -17 15,543 24,656 14,061 7,046 13,156 1,628 7,185 83,275 26.4% 34.8% 48.3% 65.2% Apr -17 15,411 7,112 15,772 2,064 7,585 10,130 6,631 64,706 37.6% 40.8% 34.8% 59.2% May -17 29,694 4,108 7,185 15,492 (341) (1,957) 50,166 104,346 45.9% 60.7% 32.4% 39.3% Jun 17 32,250 14,432 2,459 3,319 7,103 1,228 8,261 69,052 24.0% 28.8% 67.6% 71.2% Jul -17 16,967 16,640 1,653 1,540 321 1,232 6,658 45,010 18.2% 21.7% 74.7% 78.3% Aug -17 14,853 13,914 7,701 1,638 1,068 276 7,512 46,962 18.9% 22.3% 61.3% 77.7% C,\Users\pavillafueae\AppData\Local\Mlcrosoft\Windows\Temporary Internet F1les\ContentOutlo1 \9FUTGCP\AR Monthly Analysis Board Packet -August ]017 Memorial Medical Clinics Accounts Receivable Agings Aging 1 0-30 31-60 61-90 91-t20 121-150 1 151 -ISD 181-365 1 T.t IGross 1%0.. 120 Days % Over 90 Days % Under 60 Days % Untler 9D Dflys Sep -16 BCBS 22,772 8,354 10,465 9,501 8,821 21,794 150,887 26.6% 33.5% 60.9% 66.5% Sep -16 16,981 3,400 2,575 6,671 1,880 1,116 4,623 37,245 20.5% 38.4% 54.7% 61.6% OR -16 7,397 2,859 498 2,230 566 1,509 4,754 19,812 34.5% 45.7% 51.8% 54.3% Nav-16 41,245 5,308 4,833 3,215 3,005 (7,128) 60,209 110,686 50.7% 53.6% 421% 46.4% Dec -16 56,657 7,502 3,117 3,088 2,614 1,929 49,041 123,948 43.2% 45.7% 51.8% 54.3% Jan -17 15,036 526 1,947 90 (181) 6,476 (11,195) 12,699 -38.6% -37.9% 122.5% 137.9% Feb -17 6,660 15,105 (326) 2,308 - (394) (5,372) 17,981 -32.1% -19.2% 121.0% 119.2% Mar -17 2,789 4,112 12,515 (733) 2,488 120 (1,286) 20,006 6.6% 2.9% 34.5% 97.1% Apr -17 2,554 199 3,859 13,683 2,549 647 6,340 29,831 32.0% 77.8% 9.2% 22.2% May -17 5,405 2,973 2,279 8,019 8,845 8,153 54,823 90,498 79.4% 88.2% 9.3% 11.8% Jun -17 20,029 (4,508) 1,641 (268) (24) 9,755 (1,972) 24,653 31.5% 30.4% 63.0% 69.6% Jul -17 11,144 986 512 828 (268) 3,465 (11756) 14,911 9.7% 15.2% 81.3% 84.8% Aug -17 20,935 660 121 438 882 - (1,639) 21,396 -3.5% -1.5% 100.9% 101.5% C:\Users\pavillafueae\AppData\local\Microsoft\Windows\Temporary Internet FIIeS\ConteMOutlodk O UTOCP\Aft Monthly Analysis Board Packet- August 2017 Commercial Sep -16 69,179 22,772 8,354 10,465 9,501 8,821 21,794 150,887 26.6% 33.5% 60.9% 66.5% Oct -16 46,735 17,437 15,528 4,580 9,250 5,509 27,556 126,594 33.4% 37.0% 50.7% 63.0% Nov -16 64,967 24,191 17,303 17,364 11,626 11,098 90,424 236,973 47.7% 55.1% 37.6% 44.9% Dec16 62,292 20,590 14,206 11,208 15,770 10,621 91,482 226,168 52.1% 57.1% 36.6% 42.9% Jan -17 45,282 5,706 13,671 3,579 5,265 9,645 18,586 102,734 32.6% 36.1% 50.6% 63.9% Feb -17 53,630 13,122 4,215 16,080 3,342 8,519 13,977 112,884 22.9% 37.1% 59.1% 62.9% Mar17 61,118 42,365 4,785 2,228 5,522 3,111 1,749 120,878 S.6% 10.4% 85.6% 89.6% Apr -17 26,405 37,256 25,653 5,173 (2,768) 3,190 (13,490) 81,418 -16.1% -9.7% 78.2% 109.7% May -17 5,066 2,181 12,858 16,131 (7,987) (2,879) (21,295) 4,074 -789.5% -393.5% 177.9% 493.5% )un -17 111,604 31,936 11,222 12,838 16,527 353 (555) 183,925 8.9% 15.9% 78.0% 84.1% Jul -17 104,116 29,081 6,553 4,327 224 3,687 (457) 147,532 2.3% 5.3% 90.3% 94.7% Aug -17 126,645 39,727 8,364 6,807 1,778 126 (1,269) 182,177 0.3% 4.1% 91.3% 95.9% Private Pay Sep -16 126,458 52,714 41,974 52,503 37,009 (91276) 241,094 542,475 49.6% 59.2% 33.0% 40.8% Oct -16 135,558 51,623 34,913 43,999 46,668 32,895 212,346 558,002 52.3% 60.2% 33.5% 39.8% Nov -16 8,980 11,294 6,251 16,817 (2,860) 25,346 107,647 173,474 75.0% 84.7% 11.7% 15.3% Dec -16 (549) 14,447 6,643 (2,881) 10,211 (3,663) 131,667 155,875 887% 86.8% 8.9% 13.2% )an -17 83,062 30,364 19,264 37,560 12,870 4,148 303,467 490,736 65.3% 73.0% 23.1% 27.0% Feb17 132,939 39,126 22,413 16,711 12,667 10,462 277,256 511,573 58.7% 62.0% 33.6% 38.0% Mar -17 73,030 53,651 16,030 23,231 16,012 13,827 266,590 462,371 64.1% 69.1% 27.4% 30.9% Apr -17 84,668 42,568 50,889 16,150 21,063 12,740 262,647 490,725 60.4% 63.7% 25.9% 36.3% May -17 78,853 32,843 19,367 23,572 7,613 9,310 203,753 375,311 58.8% 65.1% 29.8% 34.9% Jun -17 23,205 12,806 12,888 15,911 26,526 6,209 262,695 360,240 82.0% 86.4% 10.0% 13.6% lui-17 26,206 24,966 21,813 11,740 8,878 11,629 137,233 242,465 65.1% 69.9% 21.1% 30.1% Aug -17 38,252 32,271 24,509 16,712 10,975 9,022 148,573 280,314 60.1% 66.1% 25.2% 33.9% All Insured Sep -16 160,020 67,782 40,418 32,294 24,391 25,702 50,745 401,351 25.1% 33.2% 56.8% 66.81 Oct -i6 94,186 39,742 31,196 21,268 16,733 13,887 44,383 261,395 28.7% 36.8% 51.2% 63.2% Nov -16 212,145 61,440 38,818 25,479 11,476 5,245 243,949 598,553 43.6% 47.8% 45.7% 52.2% Dec16 232,494 83,562 45,598 24,368 21,503 (1,069) 229,164 635,619 39.3% 43.1% 49.7% 56.9% Jan -17 94,783 15,574 38,000 8,357 9,032 23,432 10,554 199,732 21.5% 25.7% 55.3% 74.3% Feb -17 136,523 45,887 12,595 36,620 6,943 11,224 14,783 264,575 12.5% 26.3% 68.9% 73.7% Ma1-17 102,884 72,284 31,360 8,765 21,600 4,889 7,119 248,902 13.5% 17.0% 70.4% 83.0% Apr -17 60,878 51,165 46,004 20,954 7,854 14,072 5,073 206,030 13.1% 23.3% 54.4% 76.7% C:\Users\pavillafueae\AppData\local\Microsoft\Windows\Temporary Internet FIIeS\ConteMOutlodk O UTOCP\Aft Monthly Analysis Board Packet- August 2017 Tl RUN DATE:09/20/17 MEMORIAL MEDICAL CENTER TIME:15:39 CHECK REGISTER 08/01/17 THEN 08/31/17 BANK--CHECK---------------------------------------------------- CODE ---- ------ CODE NUMBER DATE AMOUNT PAYEE ________________________________________________________________________ A/P 000940 08/07/17 2,451.97 MCKESSON A/P 000941 08/14/17 5,932.12 MCKESSON A/P 000942 06/21/17 2,885.99 MCKESSON A/P + 170965 08/22/17 153.18CR BVOQUA PLATER TECHNOLOGIES LLC A/P 172123 08/01/17 2,232.91CR SAM'S CLUB DIRECT A/P 172124 08/01/17 2,232.91 SAMS CLUB A/P 172125 08/02/17 166.84 CUSTOM MEDICAL SPECIALTIES A/P 172126 08/02/17 .00 VOIDED A/P 172127 08/02/17 21,530.49 US FOOD SERVICE A/P 172128 08/02/17 26.19 MERCEDES MEDICAL A/P 172129 08/02/17 426.56 NATUS MEDICAL INC A/P 172130 08/02/17 139.98 PHARMEDIUM SERVICES LLC A/P 172131 08/02/17 8,333.33 HITACHI MEDICAL SYSTEMS A/P 172132 08/02/17 2,734.80 CENTURION MEDICAL PRODUCTS A/P 172133 08/02/17 1,428.91 DEWITT POTH & SON A/P 172134 08/02/17 516.97 PRECISION DYNAMICS CORP (PDC) A/P 172135 08/02/17 .00 VOIDED A/P 172136 08/02/17 .00 VOIDED A/P 172137 08/02/17 .00 VOIDED A/P 172138 08/02/17 24,016.94 MORRIS & DICKSON CO, LLC A/P 172139 08/02/17 30.06 SARA RUBIO A/P 172140 08/02/17 240.00 REVISTA de VICTORIA A/P 172141 08/02/17 68.94 AMPRONIX A/P 172142 08/02/17 1,040.00 LIFESOURCE EDUCATIONAL SRV LLC A/P 172143 08/02/17 448.28 STRYKER SUSTAINABILITY A/P 172144 08/02/17 49,923.72 MMC EMPLOYEE BENEFIT PLAN A/P 172145 08/02/17 191.10 GENESIS DIAGNOSTICS A/P 172146 08/02/17 2,187.85 WAGEWORKS A/P 172147 08/02/17 214.80 ROSHANDA THOMAS A/P 172148 08/02/17 1,333.33 SIEMENS FINANCIAL SERVICES A/P 172149 08/02/17 6,452.64 BANK OF THE WEST A/P 172150 08/02/17 1,012.00 WALLER,LANSDEN, DORTCH & DAVIS A/P 172151 08/02/17 1,400.00 ACUTE CARE INC A/P 172152 08/02/17 1,415.00 M G TRUST A/P 172153 08/02/17 558.00 SHIFTHOUND A/P 172154 08/02/17 558.03 DERRI HART A/P 172155 08/02/17 4,050.00 RECONDO A/P 172156 08/02/17 34.29 ADVANCED COMMUNICATIONS A/P 172157 08/02/17 75.00 FIRST CLEARING A/P 172158 08/02/17 2,024.50 ZOLL MEDICAL CORP A/P 172159 08/02/17 1,158.64 BIRCH COMMUNICATIONS A/P 172160 08/02/17 1,402.50 PABLO GARZA A/P 172161 08/02/17 1,667.00 RADSOURCE A/P 172162 08/02/17 1,040.00 PROMETHEUS LABORATORIES, INC A/P 172163 08/02/17 1,418.91 MARLIN BUSINESS BANK A/P 172164 08/02/17 8,811.03 PAETEC A/P 172165 08/02/17 10,021.11 GARDNER & WHITE, INC. A/P 172166 08/02/17 2,000.00 PARA A/P 172167 08/02/17 400.00 LAMAR COMPANIES A/C 172168 08/02/17 34,076.07 TXU ENERGY -21- PAGE 1 GLCKREG RUN DATB:09/20/17 MEMORIAL MEDICAL CENTER PAGE 2 TIME:15:39 CHECK REGISTER GLCKREG 08/01/17 TEND 08/31/17 BANK--CUECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE --------------------------------------------------------------------------------------- A/P 172169 08/02/17 50.42 FRONTIER A/P 172170 08/02/17 48.50 PSYCHEMEDICS CORPORATION A/P 172171 08/02/17 65.44 DOROTHY BONUZ A/P 172172 08/02/17 59.80 MEDI-DOSE, INC A/P 172173 08/02/17 29.84 JACKSON & COKER LOCUM TENENS, A/P 172174 08/02/17 2,505.00 MEDIALAB,INC A/P 172175 08/02/17 295.13 ACE HARDWARE 15521 A/P 172176 08/02/17 22,468.00 ITA RESOURCES INC A/P 172177 08/02/17 128.10 CHARLES ShMAHA A/P 172178 08/02/17 11,605.98 ALLSTATE A/P 172179 08/02/17 48.60 CYRACOM LLC A/P 172180 08/02/17 792.00 CHUBB GROUP ON INSURANCE CO A/P 172181 08/02/17 63.49 EPIPHANY ARCHANGEL A/P 172182 08/02/17 300.00 ADVANCES BY TED LLC A/P 172183 08/02/17 90.93 ORASURE TECHNOLOGIES INC A/P 172184 08/02/17 4,906.25 OCCUPRO LLC A/P 172185 08/02/17 11.58 ABBOTT NUTRITION A/P 172186 08/02/17 4,787.74 ALCON LABORATORIES, INC. A/P 172187 08/02/17 29.09 AQUA BEVERAGE COMPANY A/P 172188 08/02/17 1,980.00 ATD-AUSTIN A/P 172189 08/02/17 167.48 AUTO PARTS & MACHINE CO. A/P 172190 08/02/17 1,155.07 BAXTER HEALTHCARE A/P 172191 08/02/17 47,572.39 BECKMAN COULTER INC A/P 172192 08/02/17 125.95 BEEKLEY MEDICAL A/P 172193 08/02/17 22.40 BOSART LOCK & KEY INC A/P 172194 08/02/17 149.00 BOSTON SCIENTIFIC CORPORATION A/P 172195 08/02/17 466.89 CABLE ONE A/P 172196 08/02/17 57.50 COASTAL OFFICE SOLUTONS A/P 172197 08/02/17 1,200.29 CARDINAL HEALTH 414, INC. A/P 172198 08/02/17 7,169.69 CITY OF PORT LAVACA A/P 172199 08/02/17 1,595.71 COW GOVERNMENT, INC. A/P 172200 08/02/17 20,106.00 EVIDENT A/P 172201 08/02/17 75.00 THE DOCTORS' CENTER A/P 172202 08/02/17 80.00 DOWNTOWN CLEANERS A/P 172203 08/02/17 185,60 DLR PAPER & PACKAGING A/P 172204 08/02/17 79.50 DYNATRONICS CORPORATION A/P 172205 08/02/17 130.41 FEDERAL EXPRESS CORP. A/P 172206 08/02/17 .00 VOIDED A/P 172207 08/02/17 5,756.84 FISHER HEALTHCARE A/P 172208 08/02/17 3,803.25 ROBERTS, ROBERTS & ODEFEY, LLP A/P 172209 08/02/17 548.11 GULF COAST PAPER COMPANY A/P 172210 08/02/17 82.58 HEALTH CARE LOGISTICS INC A/P 172211 08/02/17 841.57 HILL -ROM COMPANY, INC A/P 172212 08/02/17 55.07 INTEGRATED MEDICAL SYSTEMS A/P 172213 08/02/17 5,137.83 J & J HEALTH CARE SYSTEMS, INC A/P 172214 08/02/17 7,243.13 JECKER FLOOR & GLASS A/P 172215 08/02/17 105.27 M.C. JOHNSON COMPANY INC A/P 172216 08/02/17 528.33 SHIRLEY KARNBI A/P 172217 08/02/17 90.00 VICKY KALISEK A/P 172218 08/02/17 1,540.00 LABCORP OF AMERICA HOLDINGS A/P 172219 08/02/17 224.18 14CKESSON MEDICAL SURGICAL INC -22- RUN DATE:09/20/17 MEMORIAL MEDICAL CENTER TIME:15:39 CHECK REGISTER 08/01/17 THRU 08/31/17 13ANK--CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE A/P 172220 08/02/17 446.48 A/P 172221 08/02/17 154.80 A/P 172222 08/02/17 47.90 A/P 172223 08/02/17 169.96 A/P 172224 08/02/17 258.52 A/P 172225 08/02/17 1,585.85 A/P 172226 08/02/17 1,189.74 A/P 172227 08/02/17 3,000.00 A/P 172228 08/02/17 44.76 A/P 172229 08/02/17 747.57 A/P 172230 08/02/17 5,674.35 A/P 172231 08/02/17 .00 A/P 172232 08/02/17 .00 A/P 172233 08/02/17 12,137.58 A/P 172234 08/02/17 7,275.00 A/P 172235 08/02/17 117.21 A/P 172236 08/02/17 1,886.99 A/P 172237 08/02/17 2,080.15 A/P 172238 08/02/17 9,000,00 A/P 172239 08/02/17 4,555.00 A/P 172240 08/02/17 70.42 A/P 172241 08/02/17 .00 A/P 172242 08/02/17 4,843.07 A/P 172243 08/02/17 1,000.00 A/P 172244 08/02/17 .00 A/P 172245 08/02/17 984.14 A/P 172246 08/02/17 613.14 A/P 172247 08/02/17 32.48 A/P 172248 08/02/17 174.36 A/P 172249 08/02/17 250.00 A/P 172250 08/02/17 50.00 A/P 172251 08/02/17 299.30 A/P 172252 08/02/17 71.93 A/P 172253 08/02/17 207.18 A/P 172254 08/02/17 20.00 A/P 172255 08/02/17 23.33 A/P 172256 08/02/17 33.00 A/P 172257 08/02/17 225.00 A/P 172258 08/02/17 36.07 A/P 172259 08/02/17 218.02 A/P 172260 08/02/17 25.00 A/P 172261 08/02/17 100.02 A/P 172262 08/02/17 112.00 A/P 172263 08/02/17 38.00 A/P 172264 08/02/17 10.79 A/P 172265 08/02/17 244.40 A/P 172266 08/02/17 182.67 A/P 172267 08/02/17 94.41 A/P 172268 08/02/17 208.00 A/P 172269 08/02/17 15.84 A/P 172270 08/02/17 160.38 MEDLINE INDUSTRIES INC MEDTRONIC USA, INC. MELSTAN, INC. MMC AUXILIARY GIFT SHOP METLIFE MERRY X-RAY/SOURCEONE HEALTHCA MEDIVATORS NUTRITION OPTIONS OHLIN SALES INC ORTHO CLINICAL DIAGNOSTICS OLY14PUS AMERICA INC VOIDED VOIDED OWENS & MINOR PREMIER SLEEP DISORDERS CENTER SMITHS MEDICAL ASD INC SYSCO FOOD SERVICES OF STERICYCLE, INC TOSHIBA 91ERICA MEDICAL SYST. T -SYSTEM, INC UNIFIRST HOLDINGS VOIDED UNIFIRST HOLDINGS INC US POSTAL SERVICE VOIDED WALMART COMMUNITY -23- PAGE 3 GLCKREG RUN DATE;09/20/17 TIME: IS: 39 BANK--CHECK---------- CODE NUMBER DATE --------------------- A/P 172271 08/02/17 A/P 172272 08/02/17 A/P 172273 08/02/17 A/P 172274 08/02/17 A/P 172275 08/02/17 A/P 172276 08/02/17 A/P 172277 08/02/17 A/P 172278 08/02/17 A/P 172279 08/02/17 A/P 172280 08/02/17 A/P 172281 08/02/17 A/P 172282 08/02/17 A/P 172283 08/02/17 A/P 172284 08/02/17 A/P 172285 08/02/17 A/P 172286 08/02/17 A/P 172287 08/02/17 A/P 172288 08/02/17 A/P 172289 08/02/17 A/P 172290 08/02/17 A/P 172291 08/02/17 A/P 172292 08/02/17 A/P 172293 08/02/17 A/P 172294 08/02/17 A/P 172295 08/02/17 A/P 172296 08/08/17 A/P 172297 08/10/17 A/P 172298 08/10/17 A/P 172299 08/10/17 A/P 172300 08/10/17 A/P 172301 08/10/17 A/P 172302 08/10/17 A/P 172303 08/10/17 A/P 172304 08/10/17 A/P 172305 08/10/17 A/P 172306 08/10/17 A/P 172307 08/10/17 A/P 172308 08/10/17 A/P 172309 08/10/17 A/P 172310 08/10/17 A/P 172311 08/10/17 A/P 172312 08/10/17 A/P 172313 08/10/17 A/P 172314 08/10/17 A/P 172315 08/10/17 A/P 172316 08/10/17 A/P 172317 08/10/17 A/P 172318 08/10/17 A/P 172319 08/10/17 A/P 172320 08/10/17 A/P 172321 08/10/17 MEMORIAL MEDICAL CENTER PAGE 4 CHECK REGISTER GLCKREG 08/01/17 THRU 08/31/17 -------------------------------------- AMOUNT PAYEE ------------------------------------------------------------------------------- 31.61 62.00 18.00 152.00 35.00 418.98 36.83 146.10 155.81 78.00 166.00 10.91 22.54 92.00 202.16 20.66 32.19 17.46 70.56 175.00 259.41 13.32 9,531.31 12,160.37 6,285.13 77.22 921.46 86.40 153.95 500.00 3,844.23 73.69 508.59 750.00 963.46 1,825.70 1,321.30 71.52 180.66 151.94 .00 11,592.72 1,625.00 1,564.08 1,048.52 655.50 108,728.84 34,863.67 28,233.03 3,177.09 1,072.64 CUSTOM MEDICAL SPECIALTIES PHILIPS HEALTHCARE ERNE USA INC SURGICAL SYSTEMS DEPARTMENT OF STATE HEALTH US FOOD SERVICE MERCEDES MEDICAL NATUS MEDICAL INC JAMES A DANIEL REXEL PRINCIPAL LIFE CENTURION MEDICAL PRODUCTS DEWITT POTH & SON PRECISION DYNAMICS CORP (PDC) JASON ANGLIN VOIDED MORRIS & DICKSON CO, LLC SIGN AD, LTD. THERACOM, LLC PARAGARD DIRECT FIRETROL PROTECTION SYSTEMS DISCOVERY MEDICAL NETWORK INC N14C EMPLOYEE BENEFIT PLAN ALLIED BENEFIT SYSTEMS NOVA BIOMEDICAL MERCK SHARP & DOBME CORP -24- RUN DATE:09/20/17 MEMORIAL MEDICAL CENTER PAGE 5 TIME:15:39 CHECK REGISTER GLCKREG 08/01/17 THRU 08/31/17 RANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE ----------------------------------------------------------------------------------------------- A/P 172322 08/10/17 7,682.67 CSI LEASING INC A/P 172323 06/10/17 31,144.58 DIAMOND HEALTHCARE CORP A/P 172324 08/10/17 4,627.64 COMBINED INSURANCE CO A/P 172325 08/10/17 756.97 THE BRATTON FIRM A/P 172326 08/10/17 1,799.10 AIRESPRING INC A/P 172327 08/10/17 3,198.50 FUSION MEDICAL STAFFING, LLC A/P 172328 08/10/17 3,292.00 RADSOURCE A/P 172329 08/10/17 662.27 MARLIN BUSINESS BANK A/P 172330 08/10/17 8,000.00 DR. WIILLIAM CROWLEY A/P 172331 08/10/17 11,001.20 PORT LAVACA RETAIL GROUP LLC A/P 172332 08/10/17 366.84 WEST INTERACTIVE SERVICES CORP A/P 172333 08/10/17 40,062.50 EMERGENCY STAFFING SOLUTIONS A/P 172334 08/10/17 3,125.96 SOUTH TEXAS BLOOD & TISSUE CEN A/P 172335 08/10/17 2,097.50 JACOBS LADDER LLC A/P 172336 08/10/17 695.48 AIRGAS USA, LLC - CENTRAL DIV A/P 172337 08/10/17 2,997.00 BAXTER HEALTHCARE A/P 172338 08/10/17 71.47 CALHOUN COUNTY A/P 112339 08/10/17 547.12 CONKED CORPORATION A/P 172340 08/10/17 6,484.83 EVIDENT A/P 172341 08/10/17 118.70 DOWNTOWN CLEANERS A/P 172342 08/10/17 53.85 CENTERPOINT ENERGY A/P 172343 08/10/17 2,159.94 FISHER HEALTHCARE A/P 172344 08/10/17 49.11 H E BUTT GROCERY A/P 172345 08/10/17 11.25 HOSPIRA WORLDWIDE, INC A/P 172346 08/10/17 1,571.67 WERFEN USA LLC A/P 172347 08/10/17 2,346.00 INTEGRATED MEDICAL SYSTEMS A/P 172348 08/10/17 595.89 JOHNSTONE SUPPLY A/P 172349 08/10/17 161.46 LABCORP OF AMERICA HOLDINGS A/P 172350 08/10/17 110.02 MMC VOLUNTEERS A/P 172351 08/10/17 498.26 MEDIVATORS A/P 172352 08/10/17 1,137.51 OLYMPUS AMERICA INC A/P 172353 08/10/17 .00 VOIDED A/P 172354 08/10/17 3,850.85 OWENS & MINOR A/P 172355 08/10/17 188.39 PENTAX MEDICAL COMPANY A/P 172356 08/10/17 4,525.00 PREMIER SLEEP DISORDERS CENTER A/P 172357 08/10/17 75.90 SMILE MAKERS A/P 172358 08/10/17 491.27 SMITHS MEDICAL ASD INC A/P 172359 08/10/17 666.86 SMITH & NEPHEW A/P 172360 08/10/17 238.00 DANETTE BETHANY A/P 172361 08/10/17 346.71 SYSCO FOOD SERVICES OF A/P 172362 08/10/17 3,799.00 TEXAS MUTUAL INSURANCE CO A/P 172363 08/10/17 1,561.37 THYSSENKRUPP ELEVATOR CORP A/P 172364 08/10/17 4,555.00 T -SYSTEM, INC A/P 172365 08/10/17 112.70 TRI-ANIM HEALTH SERVICES INC A/P 172366 08/10/17 35.21 UNIFIRST HOLDINGS A/P 172367 08/10/17 573.94 UNIFORM ADVANTAGE A/P 172368 08/10/17 2,992.81 UNIFIRST HOLDINGS INC A/P 172369 08/10/17 116.11 UNITED AD LABEL CO INC A/P 172370 08/10/17 1,200.00 US POSTAL SERVICE A/P 172371 08/10/17 217.80 VERIZON WIRELESS A/P 172372 08/10/17 67.32 GRAINGER -25- RUN DATE:09/20/17 MEMORIAL MEDICAL CENTER TIME:15:39 CHECK REGISTER 08/01/17 THRU 08/31/17 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE -------------------------------------------------------------------- A/P 172373 08/10/17 209.68 JACK WU A/P 172374 08/10/17 1,691.25 CARMEN C, ZAPATA-ARROYO A/P t 172375 08/17/17 4,275,075.63 MMC OPERATING PROSPERITY ACC A/P 172500 08/16/17 2,178.14 BECTON, DICKINSON & CO (BE) A/P 172501 08/16/17 2,627.00 PHILIPS HEALTHCARE A/P 172502 08/16/17 320.00 CHRIS KOVAREK A/P 172503 08/16/17 3,356.26 US FOOD SERVICE A/P 172504 08/16/17 669.30 PHARMEDIUM SERVICES LLC A/P 172505 08/16/17 3,236.62 GE HEALTHCARE A/P 172506 08/16/17 283.39 SANDRA BRAUN A/P 172507 08/16/17 1,707.11 CENTURION MEDICAL PRODUCTS A/P 172508 08/16/17 84.06 DEWITT BOTH & SON A/P 172509 08/16/17 860.92 GE HEALTHCARE IITS USA CORP A/P 172510 08/16/17 2,850.00 DA&E A/P 172511 08/16/17 .00 VOIDED A/P 172512 08/16/17 10,457.97 PIORRIS & DICKSON CO, LLC A/P 172513 08/16/17 1,414.49 LUMINANT ENERGY COMPANY LLC A/P 172514 08/16/17 59.91 SARA RUBIO A/P 172515 08/16/17 1,055.61 GLAXOSMITHKLINE PRARMACURTICAL A/P 172516 08/16/17 254.67 FIVE STAR STERILIZER SERVICES A/P 172517 08/16/17 130.00 LIFESOURCE EDUCATIONAL SRV LLC A/P 172518 08/16/17 2,177.08 WAGEWORKS A/P 172519 08/16/17 22,862.51 MMC EMPLOYEE BENEFIT PLAN A/P 172520 08/16/17 121.46 GENESIS DIAGNOSTICS A/P 172521 08/16/17 14,505.12 RUDDER PHARMACY SERVICES A/P 172522 08/16/17 160.00 MEMORIAL MEDICAL CLINIC A/P 172523 08/16/17 1,465.00 M G TRUST A/P 172524 08/16/17 503.80 DERRI HART A/P 172525 08/16/17 75.00 FIRST CLEARING A/P 172526 08/16/17 1,477.50 PABLO GARZA A/P 172527 08/16/17 11,231.75 FUSION MEDICAL STAFFING, LLC A/P 172528 08/16/17 2,817.50 REALITY MEDICAL IMAGING OF TX A/P 172529 08/16/17 867.42 FRONTIER A/P 172530 08/16/17 38.68 RACHEL HEFFNER A/P 172531 08/16/17 37.23 DOROTHY BONUZ A/P 172532 08/16/17 400.48 BEE MACHINE & PUMP REPAIR, LLC A/P 172533 08/16/17 580.79 DUTCH OPHTHALMIC USA A/P 172534 08/16/17 10,805.15 JACKSON & COKER LOCUM TENENS, A/P 172535 08/16/17 11,356.79 DELTA HEALTHCARE PROVIDERS A/P 172536 08/16/17 150.00 CHARLES SAMAHA A/P 172537 08/16/17 770.00 CALHOUN COUNTY INDIGENT ACCOUN A/P 172538 08/16/17 3,248.00 119ST COAST MEDICAL RESOURCES A/P 172539 08/16/17 14.66 EPIPHANY ARCHANGEL A/P 172540 08/16/17 375.00 PORT LAVACA PLUMBING A/P 172541 08/16/17 1,982.50 FIRE DOOR SOLUTIONS A/P 172542 08/16/17 782.13 S&R ELECTRIC A/P 172543 08/16/17 3,260.09 AIRGAS USA, LLC - CENTRAL DIV A/P 172544 08/16/17 3,095.40 ALCON LABORATORIES, INC. A/P 172545 08/16/17 80.46 ALPHA TEC SYSTEMS INC A/P 172546 08/16/17 96.00 ANNOUNCEMENTS PLUS TOO AGAIN A/P 172547 08/16/17 73.98 AUTO PARTS & MACHINE CO. -26- PAGE 6 GLCKREG RUN DATE:09/20/17 MEMORIAL MEDICAL CENTER PAGE 7 TIME:15:39 CHECK REGISTER GLCKREG 08/01/17 THRU 08/31/17 BANK --CHECK ----------------- CODE NUMBER DATE AMOUNT ---------------------------------- A/P 172548 08/16/17 677.92 A/P 172549 08/16/17 687.85 A/P 172550 08/16/17 1,338.60 A/P 172551 08/16/17 176.75 A/P 172552 08/16/17 118.00 A/P 172553 08/16/17 218.50 A/P 172554 08/16/17 43.75 A/P 172555 08/16/17 .00 A/P 172556 08/16/17 10,024.47 A/P 172557 08/16/17 50.00 A/P 172558 08/16/17 118.45 A/P 172559 08/16/17 421.54 A/P 172560 08/16/17 314.98 A/P 172561 08/16/17 5,638.52 A/P 172562 08/16/17 994.72 A/P 172563 08/16/17 828.00 A/P 172564 08/16/17 2.44 A/P 172565 08/16/17 592.79 A/P 172566 08/16/17 787.21 A/P 172567 08/16/17 571.85 A/P 172568 08/16/17 825.00 A/P 172569 08/16/17 37.65 A/P 172570 08/16/17 3,602.00 A/P 172571 08/16/17 811.62 A/P 172572 08/16/17 72.53 A/P 172573 08/16/17 1,373.17 A/P 172574 08/16/17 930.68 A/P 172575 08/16/17 61.74 A/P 172576 08/16/17 418.84 A/P 172577 08/16/17 102.17 A/P 172578 08/16/17 .00 A/P 172579 08/16/17 6,174.58 A/P 172580 08/16/17 19.53 A/P 172581 08/16/17 322.60 A/P 172582 08/16/17 43.28 A/P 172583 08/16/17 41.25 A/P 172584 08/16/17 223.53 A/P 112585 08/16/17 133.64 A/P 172586 08/16/17 533.90 A/P 172587 08/16/17 350.00 A/P 172588 08/16/17 27,193.00 A/P 172589 08/16/17 137.90 A/P 172590 08/16/17 155.95 A/P 172591 08/16/17 35.21 A/P 172592 08/16/17 108.94 A/P 172593 08/16/17 2,770.85 A/P 172594 08/16/17 2,200.00 A/P 172595 08/16/17 399.34 A/P 172596 08/22/17 153.18 A/P 172597 08122/17 820.46 A/P 172598 08/22/17 2,550,665.00 TOTALS: 7,848,449.91 PAYEE --------------------------------- C R BARD INC BAXTER HEALTHCARE CARDINAL HEALTH 414, INC. CONNED CORPORATION EVIDENT RITA DAVIS DYNATRONICS CORPORATION VOIDED FISHER HEALTHCARE GULF COAST DELIVERY GRAPHIC CONTROLS LLC GULF COAST PAPER COMPANY HOSPIRA WORLDWIDE, INC RICOH USA, INC. WERFEN USA LLC J & J HEALTH CARE SYSTEMS, INC JOHNSTOWN SUPPLY SHIRLEY KARNEI LANDAUER INC LOWE'S HOME CENTERS INC MARKS PLUMBING PARTS MARTIN PRINTING CO MCKESSON MEDICAL SURGICAL INC MEDLINE INDUSTRIES INC MMC AUXILIARY GIFT SHOP MERRY X-RAY/SOURCEONE HBALTHCA MEDIVATORS OFFICE DEPOT ORTHO CLINICAL DIAGNOSTICS OLYMPUS AMERICA INC VOIDED OWENS & MINOR POWER HARDWARE CULLIGAN OF VICTORIA FARAH JANAK RED HAWK FIRE AND SECURITY SHERWIN WILLIAMS SMITHS MEDICAL ASD INC SMITH & NEPHEW TEXAS DEPARTMENT OF TEXAS HOSPITAL INS EXCHANGE TEXAS WIRED MUSIC INC TRI-ANIM HEALTH SERVICES INC UNIFIRST HOLDINGS UNIFORM ADVANTAGE UNIFIRST HOLDINGS INC US POSTAL SERVICE GRAINGER EVOQUA WATER TECHNOLOGIES LLC CALHOUN COUNTY INDIGENT ACCOUN CALHOUN COUNTY -27- RUN DATE:09/20/17 MEMORIAL MEDICAL CENTER PAGE 8 TIME:15:39 CHECK REGISTER GLCKREG 08/01/17 THRU 08/31/17 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE ----------------------------------------------------------------------------------------------- P/R 000993 08/30/17 2,799,07 MCKESSON TOTALS: 2,799.07 am RUN DATE:09/20/17 MEMORIAL MEDICAL CENTER PAGE 9 TIME:15:39 CHECK REGISTER GLCKREG 08/01/17 THEE 08/31/17 CODE MEMBER DATE AMOUNT PAYEE PR- 061935 08/10/11 .00 PAY -P.07/21/17 08/03/17 PR- 061936 08/10/17 927.15 PAY -P.07/21/17 08/03/17 PR- 061937 08/10/17 126.72 PAY -P.07/21/17 08/03/17 PR- 061938 08/24/17 233.19 PAY -P.08/04/17 08/17/17 PR- 061939 08/24/17 200.86 PAY -P.08/04/17 08/17/17 PR- 061940 08/24/17 1,014.98 PAY -P.08/04/17 08/17/17 PR- c 061941 08/24/17 210.16 PAY -P.08/04/17 08/17/17 PR- 999999 08/10/17 503,999.53 TOTALS: 506,712.59 -29- RUN DATE: 09/20/17 MEMORIAL MEDICAL CENTER PAGE 1 TIME: 16:02 DEFAULT FORMAT FROM DB025 PRTitle REGISTERED NURSE DEPARTMENTAL ASSIST ASST PURCHASE BUYER LICENSED VOCATIONAL PURCHASING SUPERVISR IP/EH/RM NURSE REGISTERED NURSE ES AIDE REGISTERED NURSE MANAGER-SURGERY-OPC REGISTERED NURSE LICENSED VOCATIONAL LICENSED VOCATIONAL REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE DIRECTOR OF INPT SVC REGISTERED NURSE LICENSED VOCATIONAL ADMINIST ASSISTANT REGISTERED NURSE PRE -ADMISSION NURSE REGISTERED NURSE LICENSED VOCATIONAL RADIOLOGICAL TECH MEDICAL LAB TECH LAB DIRECTOR LAB ASSISTANT MEDICAL LAB TECH MEDICAL TECHNOLOGIST REGISTERED NURSE REGISTERED NURSE TRANSCRIPTIONIST -RIC REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CLINICAL IT SPCLST REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CNO-DIRECTOR OF QA REGISTERED NURSE REGISTERED NURSE LICENSED VOCATIONAL PRACT ADMINISTRATOR REGISTERED NURSE MEDICAL LAB TECH NURSE PRACTIONER REGISTERED NURSE CERTIFIED NURSE AIDE CASE MANAGER/UR/DP REGISTERED NURSE REGISTERED NURSE PRDeptName -------------------- EMERGENCY ROOM MAINTENANCE CENTRAL SUPPLY MEMORIAL MEDICAL CLINIC CENTRAL SUPPLY INFECTION PREVENTION MED/SURG ENVIRONMENTAL SERVICES SURGERY SURGERY MSD/SURG OBSTETRICS EMERGENCY ROOM MBD/SURG OBSTETRICS EMERGENCY ROOM MED/SURG OBSTETRICS MED/SURG ADMINISTRATION ICU SURGERY MEMORIAL MEDICAL CLINIC SURGERY DIAGNOSTIC IMAGING LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY EMERGENCY ROOM MED/SURG HEALTH INFORMATION MANAGEMENT OBSTETRICS OBSTETRICS OBSTETRICS ADMINISTRATION -CLINICAL SERVIC OBSTETRICS OBSTETRICS OBSTETRICS QUALITY ASSURANCE SURGERY MSD/SURG MED/SURG MEMORIAL MEDICAL CLINIC ICU LABORATORY MEMORIAL MEDICAL CLINIC MED/SURG MRD/SURG UTILIZATION REVIEW ICU MBD/SURG PRTotGross ------------ .00 5373.35 2496.00 2172.79 2355,32 5975.20 5366.98 452.25 2010.45 792.00 6569.20 5606.21 6042.55 3955.23 5055.39 2566.29 5534.80 15952.32 6255.00 2689.85 3497.80 4393.55 3458,65 4240.11 3873,83 5184.12 366.75 7896.33 2966.48 3993.24 4299.35 812.31 1507.75 1995.84 8053.82 3783.48 3776.47 4645.68 657.32 1045.01 4316.44 14956.81 3146.26 4053.36 254.75 12196.06 1574.50 1951.13 7538.40 .00 259.25 4024.77 3503.19 5248,24 -30- RUN DATE: 09/20/17 MEMORIAL MEDICAL CENTER PAGE 2 TIME: 16:02 DEFAULT FORMAT FROM D3025 PRTitle CERTIFIED NURSE AIDE REGISTERED NURSE REGISTERED NURSE CERTIFIED NURSE AIDE REGISTERED NURSE REGISTERED NURSE CERTIFIED NURSE AIDE REGISTERED NURSE LICENSED VOCATIONAL REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CERTIFIED NURSE AIDE OP/QA NURSE REGISTERED NURSE REGISTERED NURSE LICENSED VOCATIONAL REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE LICENSED VOCATIONAL NURSE PRACTITIONER LICENSED VOCATIONAL CERTIFIED NURSE AIDE CERTIFIED NURSE AIDE NURSE SUPERVISOR CERTIFIED NURSE AIDE NURSE PRACTIONER REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE RN -OR SCRUB NURSE REGISTERED NURSE 0 R TECH REGISTERED NURSE RN -PERIOPERATIVE CENTRAL STERILE TECH CENTRAL SUPPLY TECH REGISTERED NURSE DIRECTOR REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE PRDeptName MED/SURG MED/SURG OBSTETRICS MBD/SURG MED/SURG MSD/SURG MED/SURG MED/SURG MBD/SURG MED/SURG MED/SURG ICU EMERGENCY ROOM MSD/SURG SPECIALTY CLINIC ICU EMERGENCY ROOM MBD/SURG MBD/SURG MED/SURG MSD/SURG MSD/SURG EMERGENCY ROOM MEMORIAL MEDICAL CLINIC MED/SURG MED/SURG MEMORIAL MEDICAL CLINIC MBD/SURG MEMORIAL MEDICAL CLINIC ICU ICU ICU ICU ICU ICU ICU SURGERY SURGERY SURGERY SURGERY SURGERY SURGERY CENTRAL SUPPLY EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM PRTotGross .00 6269.29 3125.37 1375.45 2059.50 3176.00 1427.06 3624.27 1961.65 1246.25 4434.15 4406.67 3752.94 1619.80 4449.06 4638.95 424.63 210.38 3880.48 3706.65 3732.71 2559.13 7799.15 833.00 1436.37 2108.29 2543.05 1519.79 7538.40 442.65 3099.19 1903.59 3934.59 5686.29 419.25 5049.81 3447.62 4012.44 2608.57 4430.16 4911.61 1777.01 1744.27 7738.78 12782.54 119.88 111.31 410.50 899.26 551.50 410.94 1486.26 5691.00 420.44 4016.21 -31- RUN DATE: 09/20/17 MEMORIAL MEDICAL CENTER TIME: 16:02 DEFAULT FORMAT FROM DB025 PRTitle PRDeptName PRTotGross ---------------------- -- REGISTERED NURSE EMERGENCY ROOM 3903.17 REGISTERED NURSE EMERGENCY ROOM 410.94 REGISTERED NURSE EMERGENCY ROOM 1480.66 MT GEN TECH SUPERVSR LABORATORY 4013.92 MEDICAL LAB TECH LABORATORY 402.75 LAB ASSISTANT LABORATORY 1394.38 REGISTERED NURSE MBD/SURG 4961.98 MEDICAL LAB TECH LABORATORY 3497.60 TECHNICAL SUPERVISOR MMC CLINIC - LABORATORY 3213.86 LABORATORY ASSISTANT LABORATORY 622.47 LAB ASSISTANT LABORATORY 803.63 MEDICAL TECHNOLOGIST LABORATORY 3117.38 LAB ASSISTANT LABORATORY 2356.06 LABORATORY ASSISTANT LABORATORY .00 LAB ASSISTANT LABORATORY 1133.31 MEDICAL TECHNOLOGIST LABORATORY 728.50 REGISTRATION CLERK PATIENT FINANCIAL SERVICES 1725.00 MEDICAL LAB TECH LABORATORY 3135.90 MEDICAL LAB TECH LABORATORY 3877.98 CERTIFIED NURSE AIDE MED/SURG .00 REGISTERED NURSE EMERGENCY ROOM 3875.32 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 256.00 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 4818.28 RECEPT/SECRETARY DIAGNOSTIC IMAGING 1934.65 RADIOLOGY SUPERVISOR DIAGNOSTIC IMAGING 5347.84 RADIOLOGY TECH MMC CLINIC - DIAGNOSTIC IMAGIN 4292.72 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 1233.32 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 4892.38 RADIOLOGICAL TECH DIAGNOSTIC IMAGING .00 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 3652.74 RADIOLOGICAL TECH DIAGNOSTIC IMAGING .00 NUCLEAR MED TECH DIAGNOSTIC IMAGING 8860.00 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 3086.14 RADIOLOGICAL TECH DIAGNOSTIC IMAGING .00 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 540.00 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 4097.58 LVN-CHG-CHART AUDITR PHARMACY 2842.75 .00 REGIST PHARMACY TECH PHARMACY 4697.16 REG PHARMACY TECH PHARMACY 2775.42 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 1531.75 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 1187.34 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 3049.35 RECEPTIONIST CLINIC FS 2425.89 INSURANCE CLERK CLINIC FS 2106.75 RECEPTIONIST CLINIC FS 1782.48 REFERRAL SPCLST / MA MEMORIAL MEDICAL CLINIC 1686.59 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 2071.56 INSURANCE CLERK CLINIC FS 2481.93 RECEPTIONIST CLINIC FS 2010.83 RECEPTIONIST CLINIC FS 1927.83 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 1971.33 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 1733.75 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 1693.33 REFERRAL SPCLST / MA MEMORIAL MEDICAL CLINIC 2657.03 -32- PAGE 3 RUN DATE: 09/20/17 MEMORIAL MEDICAL CENTER PAGE 4 TIME: 16:02 DEFAULT FORMAT FROM DB025 PRTitle MEDICAL ASSISTANT INSURANCE CLERK NURSE PRACTITIONER MEDICAL ASSISTANT OCCUPATIONAL THERAPY IT ASSISTANT PT ASSISTANT DIRECTOR REHAB SERVC OFFICE COORDINATOR TEAM LEAD PTA REGISTERED NURSE PT ASSISTANT PT TECH DISCHARGE ANALYST CODING SPECIALIST HIM SPECIALIST MEDICAL ASSISTANT TECHNICIAN HUNTER PHARMACY GROU FOOD SERVICE STAFF FOOD SERVICE STAFF RECEPTIONIST -PBX FOOD SERVICE STAFF FOOD SERVICE STAFF DIRECTOR OF DIETARY FOOD SERVICE STAFF FLOOR TECH / EVS SECURITY OFFICER GROUNDSKEEPER BIO -MED TECHNICIAN BIO -MBD TECHNICIAN DIRECTOR SECURITY SUPERVISOR ES AIDE FLOOR TECHNICIAN ES AIDE EVS AIDE FOOD SERVICE STAFF ES AIDE LICENSED VOCAT NURSE B.S. TEAM LEADER ES AIDE BS AIDE ES AIDE EVS AIDE FLOOR TECHNICIAN ES AIDE EVS AIDE OR AIDE SECURITY OFFICER PLANT OPS SPECIALIST SECURITY OFFICER FIN CNSLR-COORDINATR SELF PAY CLERK OFFICE MANAGER PRDeptName ----------------------------- MEMORIAL MEDICAL CLINIC CLINIC FS MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC OCCUPATIONAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY OBSTETRICS PHYSICAL THERAPY PHYSICAL THERAPY HEALTH INFORMATION MANAGEMENT HEALTH INFORMATION MANAGEMENT HEALTH INFORMATION MANAGEMENT MEMORIAL MEDICAL CLINIC CARDIAC REHAB CONTRACT EMPLOYEES DIETARY DIETARY CLINIC FS DIETARY DIETARY DIETARY DIETARY ENVIRONMENTAL SERVICES SECURITY MAINTENANCE BIO MEDICAL ENGINEERING BIO MEDICAL ENGINEERING MAINTENANCE SECURITY ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES MAINTENANCE ENVIRONMENTAL SERVICES DIETARY ENVIRONMENTAL SERVICES MED/SURG ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES SURGERY SECURITY MAINTENANCE SECURITY INDIGENT CARE PROGRAM PATIENT FINANCIAL SERVICES CLINIC FS PRTotGxoss 606.28 2152.51 .00 1621.50 5006.00 4023.18 4287.38 3664.62 2044.25 4410.00 4358.00 3347.50 1665.32 1291.98 3083.85 1838.33 1650.42 .00 .00 2085.25 2015.00 1526.71 .00 1983.42 4027.28 922.70 1752.00 275.20 1039.50 716.25 4463.81 12193.93 3593.51 2049.96 1897.83 6094.50 1424.27 2018.75 1576.36 3060.82 2343.41 971.50 1808.65 1832.35 1499.73 2076.11 1553.90 1394.97 1120.35 2087.80 7744.65 626.40 2988.36 1886.65 2311.90 -33- RUN DATE: 09/20/17 MEMORIAL MEDICAL CENTER PAGE 5 TIME: 16:02 DEFAULT FORMAT FROM DB025 PRTitle REGISTRATION CLERK BILLING CLERK REGISTRATION CLERK REGISTRATION CLERK REGISTRATION CLERK CASHIER -SWITCHBOARD INSUR COORDINATOR MEDICARE COORDINATOR REGISTRATION CLERK RECEPTIONIST TEAM LEADER PFS DIRECTOR REGISTERED NURSE A -P / PAYROLL CLERK REGISTRATION CLERK REGISTRATION CLERK SECURITY OFFICER FINANCIAL COUNSELOR REGISTRATION CLERK DIRECTOR OF HIM MEDICAID COORDINATOR REGISTRATION CLERK TRAUMA COORDINATOR DIRECTOR REGISTRATION CLERK I.T. DIRECTOR IT SYSTEM ANALYST IT SYSTEM ANALYST REGISTRATION CLERK REGISTERED NURSE CONTROLLER ACCOUNTANT ASSIST ADMINISTRATOR C.E.O. ADMIN ASST TO AA-CNO SPECIAL PROJECTS MGR Grand totals Total lines = 255 PRDeptName PFS - REGISTRATION PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES CLINIC FS PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES EMERGENCY ROOM ACCOUNTING PFS - REGISTRATION PFS - REGISTRATION SECURITY INDIGENT CARE PROGRAM PFS - REGISTRATION HEALTH INFORMATION MANAGEMENT PATIENT FINANCIAL SERVICES PFS - REGISTRATION ADMINISTRATION -CLINICAL SERVIC DIAGNOSTIC IMAGING PFS - REGISTRATION INFORMATION TECHNOLOGY INFORMATION TECHNOLOGY INFORMATION TECHNOLOGY PATIENT FINANCIAL SERVICES EMERGENCY ROOM ACCOUNTING ACCOUNTING ADMINISTRATION ADMINISTRATION ADMINISTRATION -CLINICAL SERVIC ADMINISTRATION PRTotGross 1891.49 .00 1620.71 1938.00 1445.63 1657.34 1812.80 1898.47 167.91 2138.16 2562.97 3556.20 .00 1560.00 1995.68 903.49 2148.59 2562.75 2988.51 3845.00 1954.50 487.92 9725.71 7699.62 2564.44 5699.68 4504.83 285.00 1595.97 3457.25 4621.00 3711.19 9137.00 18003.92 2562.36 2982.21 760657.07 -34- ©IHS Source Totals Report Issued 09/21/17 Calhoun Indigent Health Care Batch Dates 09/01/2017 through 09/01/2017 For Source Group Indigent Health Care For Vendor: All Vendors Source Description Amount Billed Amount Paid 01 02 Physician Seniices Prescription Drugs 13,481.99 2,995.79 08 Rural Health Clinics 40.00 6,075.00 0.00 13 Mmc - Inpatient Hospital 25,324.52 5,228.04 13,422.00 14 15 Mmc - Hospital Outpatient 75,047.05 23,219.10 Mmc - Er Bilis 16,045.80 5,134.65 Expenditures 136,014.36 49,999.58 Reimb/Adjustments 0.00 0.00 Grand Total 136,014.36 49,999,58 Copays <-700.00> Expenses 4,166.67 Total 53,466.25 -35- Calhoun County Indigent Care Patient Caseload 2017 Approved Denied Removed Active Pending January 11 1 4 67 4 February 5 3 9 63 0 March 6 2 5 64 2 April 6 16 8 62 0 May 5 8 3 64 0 June 10 3 6 68 0 July 13 5 4 77 1 August 3 4 4 76 3 September October November December YTD MonthlyA� 7 5 December 2016 Active 60 -36- 1 I Calhoun County Commissioners' Court — October 12, 2017 S. APPROVE MINUTES (AGENDA ITEM NOA) Of August 24, 2017 Meeting. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 3 of 28 CALHI®iCTN COUNTY ICOM ISSIONERS9 cCORT REGULAR 2017 TERM § AUGUST 24, 2017 BE IT REMEMBERED THAT ON AUGUST 24, 2017, THERE WAS BEGUN AND HOLDEN A REGULAR TERM OF COMMISSIONERS' COURT. 1. CALL TO ORDER 2. ROLL CALL THE FOLLOWING MEMBERS WERE PRESENT: Michael J. Pfeifer David Hall Vern Lyssy Clyde Syma Kenneth Finster Anna Goodman Catherine Blevins County Judge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 County Clerk Deputy County Clerk 3. INVOCATION & PLEDGE OF ALLEGIANCE (AGENDA ITEM NO. 2 & 3) Invocation — Commissioner Hall Pledge to US Flag & Texas Flag — Commissioner Finster 1 (Page I Calhoun County Commissioners' Court— October 12, 2017 6. PUBLIC DISCUSSION (AGENDA ITEM NO. 29) Discussion on Code Enforcement, un -employment rates in Calhoun County, training. Page 4 of 28 I Calhoun County Commissioners' Court— October 12, 2017 7. AWARD BIDS FOR FUEL (AGENDA ITEM NO. 6) To be delivered for the period October 16, 2017 through November 15, 2017. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Clyde Syma, Commissioner Pet 3 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 5 of 28 AGENDA ITEM THURSDAY, OCTOBER 12, 2017 Consider and take necessary action to award bid for Bulk Fuel to be Delivered for the period beginning October 16, 2017 and ending November 15, 2017. m TI C m r W C r IN 0 m r m �u of a_ C Z V tttttt� v a. C r Z Goo . . T� C Cq T W 6 y a e N p e Z N O ti 0 p O Q m w e c m e m m A A -7 z z C r � D C v m m e p co C D � O O O r n O Z _ m z n 0Ow+ n n N O Z .m y °o n c O N A vr co O N N m TI C m r W C r IN 0 m r m �u of a_ C Z V tttttt� v a. C r Z Goo . . T� C y T e a a e N p x O ti O e p F W m m e m a r A -7 m � r C O. mco C m O O 0 z n 0 0 w n m - 0 Q m e y .goo O N N ur Co O N W m TI C m r W C r IN 0 m r m �u of a_ C Z V tttttt� v a. C r Z Goo . . T� C / CALHOUN COUNTY, TEXAS BID SHEET - 4 'i 3 BIDDER OIEBEL OIL CO INC SAM DIEBEL PO BOX 71 POBTLAUACA TX 77070 BID ITEMFUEL-BULK DELIVERED PEDIODFROM: OCTOBER 16, 2017 PEDIODTo. NOVEMBER 15, 2017 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: M/CHAEt JPFEIFER, CALHOUN.COUNTY JUDGE, 211 SA NST, PORT LAVA CA TX 7797P BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED B/D- FUEL-BULKDEL/VERED BIDS ARE DUE AT THE JUDGE'S OFFICE ON OR BEFORE: 10••00 AM, THURSDAY, OCTOBER S, 2017 BIDS WILL BE AWARDED AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, OCTOBER ",2017 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMFNT OR THF PDOVIUMI nD "D+nruc BIDTEM: FUEL -BULK DELIVERED DEPARTMENT.• VARIOUS DELIVERY FOB COUNTY FUEL TANKS ESTINATION VARIOUS _ _ — _ _ — _ spmmcAmNs: DIESEL FUEL — — — — >>DELIVERY must be made within 24 hours after receiving order from the County Department in the quantity ordered. If vendor cannot deliver within 24 hours or refuses to deliver, the County Department will order from the next lowest bidder. >>PRICE Per Gallon MUST INCLUDE all fees and charges including all Taxes/Fees the County is not exempt from (for example: $0.20 State Excise Tax, State Delivery/Environmental Fees, Federal Oil Spill Recovery Fees and Federal LUST Tax) >>FREE FROM WATER AND SUSPENDED MATTER UNIT UNIT PRICE _______GALLON_ Q9 sPecrFIcanonrs: REGULAR UNLEADED GASOLINE >>DELIVERY must be made within 24 hours after receiving order from the County Department in the quantity ordered. If vendor cannot deliver within 24 hours or refuses to deliver, the County Department will order from the next lowest bidder. >>PRICE Per Gallon MUST INCLUDE all fees and charges including all Taxes/Fees the County is not exempt from (for example: $0.20 State Excise Tax, State Delivery/Environmental Fees, Federal Oil Spill Recovery Fees and Federal LUST Tax) >>FREE FROM WATER AND SUSPENDED MATTER AND A MINIMUM OCTANE OF 87 (AVERAGE METHOD) UNIT GALLON DATE OF BID: — — r7 ADTDORQEDSICNATIDIE AND TITLE: POINT UNIT PRICE IiIPY PLEASE LIST ANY EXCEPTIONS TO TOE ABOVE SPECIFICATIONS:,b i A W i L L _TF I Calhoun County Commissioners' Court— October 12, 2017 8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 7) On Agreement for Arbitrage Rebate Compliance Services with First Southwest Asset Management, LLC (FSAM) and authorize County Judge to sign. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Michael Pfeifer, County Judge SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 6 of 28 Form No. 148(1); Revised 1/25/16 AGREEMENT FOR ARBITRAGE REBATE COMPLIANCE SERVICES BETWEEN CALHOUN COUNTY, TEXAS (Hereinafter Referred to as the "Issuer") AND FIRST SOUTHWEST ASSET MANAGEMENT, LLC (Hereinafter Referred to as "FSAM") It is understood and agreed that the Issuer, in connection with the sale and delivery of certain bonds, notes, certificates, or other tax-exempt obligations (the "Obligations"), will have the need to determine to what extent, if any, it will be required to rebate certain investment earnings (the amount of such rebate being referred to herein as the "Arbitrage Amount") from the proceeds of the Obligations to the United States of America pursuant to the provisions of Section 148(f)(2) of the Internal Revenue Code of 1986, as amended (the "Code"). For purposes of this Agreement, the term "Arbitrage Amount" includes payments made under the election to pay penalty in lieu of rebate for a qualified construction issue under Section 148(f)(4) of the Code. We are pleased to submit the following proposal for consideration; and if the proposal is accepted by the Issuer, it shall become the agreement (the Agreen¢ent") between the Issuer and FSAM effective at the date of its acceptance as provided for herein below. This Agreement shall apply to all issues of tax-exempt Obligations delivered subsequent to the effective date of the rebate requirements under the Code, except for (i) issues which qualify for exceptions to the rebate requirements in accordance with Section 148 of the Code and related Treasury regulations, or (ii) issues excluded by the Issuer in writing in accordance with the further provisions hereof, (iii) new issues effected in a fashion whereby FSAM is unaware of the existence of such issue, (iv) issues in which, for reasons outside the control of FSAM, FSAM is unable to procure the necessary information required to perform such services. Covenants of First Southwest Asset Management 2. We agree to provide our professional services in determining the Arbitrage Amount with regard to the Obligations. The Issuer will assume and pay the fee of FSAM as such fee is set out in Appendix A attached hereto. FSAM shall not be responsible for any extraordinary expenses incurred on behalf of Issuer in connection with providing such professional services, including any costs incident to litigation, mandamus action, test case or other similar legal actions. 3. We agree to perform the following duties in connection with providing arbitrage rebate compliance services: a. To cooperate fully with the Issuer in reviewing the schedule of investments made by the Issuer with (i) proceeds from the Obligations, and (ii) proceeds of other funds of the Issuer which, under Treasury Regulations Section 1.148, or any successor regulations thereto, are subject to the rebate requirements of the Code; b. To perform, or cause to be performed, consistent with the Code and the regulations promulgated thereunder, calculations to determine the Arbitrage Amount under Section 148(f)(2) of the Code; and c. To provide a report to the Issuer specifying the Arbitrage Amount based upon the investment schedule, the calculations of bond yield and investment yield, and other information deemed relevant by FSAM. In undertaking to provide the services set forth in paragraph 2 and this paragraph 3, FSAM does not assume any responsibility for any record retention requirements which the Issuer may have under the Code or other applicable laws, it being understood that the Issuer shall remain responsible for compliance with any such record retention requirements. 116314-1 Covenants of the Issuer 4. In connection with the performance of the aforesaid duties, the Issuer agrees to the following: a. The fees due to FSAM in providing arbitrage rebate compliance services shall be calculated in accordance with Appendix A attached hereto. The fees will be payable upon delivery of the report prepared by FSAM for each issue of Obligations during the term of this Agreement. b. The Issuer will provide FSAM all information regarding the issuance of the Obligations and the investment of the proceeds therefrom, and any other information necessary in connection with calculating the Arbitrage Amount. FSAM will rely on the information supplied by the Issuer without inquiry, it being understood that FSAM will not conduct an audit or take any other steps to verify the accuracy or authenticity of the information provided by the Issuer. C. The Issuer will notify FSAM in writing of the retirement, prior to the scheduled maturity, of any Obligations included under the scope of this Agreement within 30 days of such retirement. This notification is required to provide sufficient time to comply with Treasury Regulations Section 1.148-3(g) which requires final payment of any Arbitrage Amount within 60 days of the final retirement of the Obligations. In the event the Issuer fails to notify FSAM in a timely manner as provided hereinabove, FSAM shall have no further obligation or responsibility to provide any services under this Agreement with respect to such retired Obligations. 5. In providing the services set forth in this Agreement, it is agreed that FSAM shall not incur any liability for any error of judgment made in good faith by a responsible officer or officers thereof and, except to the limited extent set forth in this paragraph, shall not incur any liability for any other errors or omissions, unless it shall be proved that such error or omission was a result of the gross negligence or willful misconduct of said officer or officers. In the event a payment is assessed by the Internal. Revenue Service due to an error by FSAM, the Issuer will be responsible for paying the correct Arbitrage Amount and FSAM's liability shall not exceed the amount of any penalty or interest imposed on the Arbitrage Amount as a result of such error. Obligations Issued Subsequent to Initial Contract 6. The services contracted for under this Agreement will automatically extend to any additional Obligations (including financing lease obligations) issued during the term of this Agreement, if such Obligations are subject to the rebate requirements under Section 148(f)(2) of the Code. In connection with the issuance of additional Obligations, the Issuer agrees to the following: a. The Issuer will notify or cause the notification, in writing, to FSAM of any tax-exempt financing (including financing lease obligations) issued by the Issuer during any calendar year of this Agreement, and will provide FSAM with such information regarding such Obligations as FSAM may request in connection with its performance of the arbitrage rebate services contracted for hereunder. If such notice is not provided to FSAM with regard to a particular issue, FSAM shall have no obligation to provide any services hereunder with respect to such issue. b. At the option of the Issuer, any additional Obligations to be issued subsequent to the execution of this Agreement may be excluded from the services provided for herein. In order to exclude an issue, the Issuer must notify FSAM in writing of their intent to exclude any specific Obligations from the scope of this Agreement, which exclusion shall be permanent for the full life of the Obligations; and after receipt of such notice, FSAM shall have no obligation to provide any services under this Agreement with respect to such excluded Obligations. 116314-I Effective Date of Agreement This Agreement shall become effective at the date of acceptance by the Issuer as set out herein below and remain in effect thereafter for a period of five (5) years from the date of acceptance, provided, however, that this Agreement may be terminated with or without cause by the Issuer or FSAM upon thirty (30) days prior written notice to the other party. In the event of such termination, it is understood and agreed that only the amounts due to FSAM for services provided and extraordinary expenses incurred to and including the date of termination will be due and payable. No penalty will be assessed for termination of this Agreement. In the event this Agreement is terminated prior to the completion of its stated term, all records provided to FSAM with respect to the investment of monies by the Issuer shall be returned to the Issuer as soon as practicable following written request by Issuer. In addition, the parties hereto agree that, upon termination of this Agreement, FSAM shall have no continuing obligation to the Issuer regarding any arbitrage rebate related services contemplated herein, regardless of whether such services have previously been undertaken, completed or performed. Acceptance of Agreement This Agreement is submitted in duplicate originals. When accepted by the Issuer in accordance with the terms hereof, it, together with Appendix A attached hereto, will constitute the entire Agreement between the Issuer and FSAM for the purposes and the consideration herein specified. In order for this Agreement to become effective, it must be accepted by the Issuer within sixty (60) days of the date appearing below the signature of FSAM's authorized representative hereon. After the expiration of such 60 -day period, acceptance by the Issuer shall only become effective upon delivery of written acknowledgement and reaffirmation by FSAM that the terms and conditions set forth in this Agreement remain acceptable to FSAM. Governing Law 9. This Agreement will be governed by and construed in accordance with the laws of the State of Texas, without regard to its principles of conflicts of laws. Acceptance will be indicated on both copies and the return of one executed copy to First Southwest Asset Management. Respectfully submitted, FIRST SOUTHWEST ASSET MANAGEME LC )4��By David K. Medanich, President ISSUER'S ACCEPTANCE CLAUSE The above and foregoing is hereby in all things accepted and approved by Calhoun County on this the 12 dayof�October 2017 By hi f, a �� 'k Authorized RepresditativEe Title County Judge Printed Name Michael J. Pfeifer 116314-1 APPENDIX A - FEES The Obligations to be covered initially under this contract include all issues of tax-exempt obligations delivered subsequent to the effective dates of the rebate requirements, under the Code, except as set forth in Section I of the Agreement. The fee for any Obligations under this contract shall only be payable if a computation is required under Section 148(f)(2) of the Code. In the event that any of the Obligations fall within an exclusion to the computation requirement as defined by Section 148 of the Code or related regulations and no calculations were required by FSAM to make that determination, no fee will be charged for such issue. For example, certain obligations are excluded from the rebate computation requirement if the proceeds are spent within specific time periods. In the event a particular issue of Obligations fulfills the exclusion requirements of the Code or related regulations, the specified fee will be waived by FSAM if no calculations were required to make the determination. FSAM's fee for arbitrage rebate services is based upon a fixed annual fee per issue. The annual fee is charged based upon the number of years that proceeds exist subject to rebate from the delivery date of the issue to the computation date. FSAM's fees are payable upon delivery of the report. The first report will be made following one year from the date of delivery of the Obligations and on each computation date thereafter during the term of the Agreement. The fees for computations of the Arbitrage Amount which encompass more, or less, than one Computation Year shall be prorated to reflect the longer, or shorter, period of work performed during that period. The fee for each of the Obligations included in this contract shall be based on the table below. Additionally, due to significant time saving efficiencies realized when investment information is submitted in an electronic format, FSAM passes the savings to its clients by offering a 10% reduction in its fees if information is provided in a spreadsheet or electronic text file format. Description Annual Fee ANNUAL FEE $1,600 COMPREHENSIVE ARBITRAGE COMPLIANCL SERVICES INCL UDE: • Commingled Funds Analysis & Calculations • Spending Exception Analysis & Calculations • Yield Restriction Analysis & Calculations (for yield restricted Project Funds, Reserve Funds, Escrow Funds, etc.) • Parity Reserve Fund Allocations • Transferred Proceeds Calculations • Universal Cap Calculations • Debt Service Fund Calculations (including earnings test when required) INCLUDED • Preparation of all Required IRS Paperwork for Making a Rebate Payment / Yield Reduction Payment • Retention of Records Provided for Arbitrage Computations • IRS Audit Assistance • Delivery of Rebate Calculations Each Year That Meets the Timing Requirements of the Audit Schedule • On -Site Meetings, as Appropriate, to Discuss Calculation Results / Subsequent Planning Items OTIIER SERVICES AVAILABLE: IRS Refund Request — Update calculation, prepare refund request package, and assist issuer as necessary $750 in responding to subsequent IRS Information Requests 116314-1 EXPLANATION OF TERMS: a. Computation Year: A "Computation Year" represents a one year period from the delivery date of the issue to the date that is one calendar year after the delivery date, and each subsequent one-year period thereafter. Therefore, if a calculation is required that covers more than one "computation year," the annual fee is multiplied by the number of computation years contained in the calculation being performed. If a calculation includes a portion of a computation year, i.e., if the calculation includes 1 %z computation years, then the base fee will be multiplied by 1.5. b. Electronic Data Submission: The data should be provided electronically in MS Excel or ASCII text file (comma delimited text preferred) with the date, description, dollar amount, and an activity code (if not in debit and credit format) on the same line in the file. c. Variable/Floating Rate Bond Issues: Special services are also required to perform the arbitrage rebate calculations for variable rate bonds. A bond is a variable rate bond if the interest rate paid on the bond is dependent upon an index which is subject to changes subsequent to the issuance of the bonds. The computational requirements of a variable rate issue are more complex than those of a fixed rate issue and, accordingly, require significantly more time to calculate. The additional complexity is primarily related to the computation of the bond yield, which must be calculated on a "bond year" basis. Additionally, the regulations provide certain flexibility in computing the bond yield and determining the arbitrage amount over the first IRS reporting period; consequently, increased calculations are required to determine which bond yield calculation produces the lowest arbitrage amount. d. Commingled Fund Allocations: By definition, a commingled fund is one that contains either proceeds of more than one bond issue or proceeds of a bond issue and non -bond proceeds (i.e., revenues) of $25,000 or more. The arbitrage regulations, while permitting the commingling of funds, require that the proceeds of the bond issue(s) be "carved out" for purposes of determining the arbitrage amount. Additionally, interest earnings must be allocated to the portion of the commingled fund that represents proceeds of the issue(s) in question. Permitted "safe -harbor" methods (that is, methods that are outlined in the arbitrage regulations and, accordingly, cannot be questioned by the IRS under audit), exist for allocating expenditures and interest earnings to issues in a commingled fund. FSAM uses one of the applicable safe -harbor methods when doing these calculations. e. Debt Service Reserve Funds: The authorizing documents for many revenue bond issues require that a separate fund be established (the "Reserve Fund") into which either bond proceeds or revenues are deposited in an amount equal to some designated level, such as average annual debt service on all parity bonds. This Reserve Fund is established for the benefit of the bondholders as additional security for payment on the debt. In most cases, the balance in the Reserve Fund remains stable throughout the life of the bond issue. Reserve Funds, whether funded with bond proceeds or revenues, must be included in all rebate calculations. Debt Service Fund Calculations: Issuers are required under the regulations to analyze the invested balances in their debt service funds annually to determine whether the fund depletes as required during the year and is, therefore, "bona fide" (i.e., potentially exempt from rebate in that year). It is not uncommon for surplus balances to develop in the debt service fund that services an issuer's tax supported debt, particularly due to timing differences of when the funds were due to be collected versus when the funds were actually collected. FSAM performs this formal analysis of the debt service fund and, should it be determined that a surplus balance exists in the fund during a given year, allocates the surplus balance among the various issues serviced by the fund in a manner that is acceptable under IRS review. g. Earnings Test for Debt Service Funds: Certain types of bond issues require an additional level of analysis for the debt service fund, even if the fund depletes as required under the regulations and is "bona fide." For short-term, fixed rate issues, private activity issues, and variable rate issues, the regulations require that an "earnings test" be performed on a bona fide debt service fund to determine if the interest earnings reached $100,000 during the year. In cases where the eamings reach or exceed the $100,000 threshold, the entire fund (not just the surplus or residual portion) is subject to rebate. h. Transferred Proceeds Calculations: When a bond issue is refinanced (refunded) by another issue, special services relating to "transferred proceeds" calculations may need to be performed. Under the regulations, when proceeds of a refunding issue are used to retire principal of a prior issue, a pro -rata portion of the unspent proceeds of the prior issue becomes subject to rebate and/or yield restriction as transferred proceeds of the refunding issue. The refunding issue essentially "adopts" the unspent proceeds of the prior issue for purposes of the arbitrage calculations. These 116314-1 calculations are required under the regulations to ensure that issuers continue to exercise due diligence to complete the project(s) for which the prior bonds were issued. Universal Cap: Current regulations provide an overall limitation on the amount of gross proceeds allocable to an issue. Simply stated, the value of investments allocated to an issue cannot exceed the value of all outstanding bonds of the issue. For example, this situation can occur if an issuer encounters significant construction delays or enters into litigation with a contractor. It may take months or even years to resolve the problems and begin or resume spending the bond proceeds; however, during this time the debt service payments are still being paid, including any scheduled principal payments. Thus, it's possible for the value of the investments purchased with bond proceeds to exceed the value of the bonds outstanding. In such cases, a "de -allocation" of proceeds may be required to comply with the limitation rules outlined in the regulations. Yield Restriction Analysis/Yield Reduction Computations: The IRS strongly encourages issuers to spend the proceeds of each bond issue as quickly as possible to achieve the governmental purpose for which the bonds were issued. Certain types of proceeds can qualify for a "temporary period," during which time the proceeds may be invested at a yield higher than the yield on the bonds without jeopardizing the tax-exempt status of the issue. The most common temporary period is the three-year temporary period for capital project proceeds. After the end of the temporary period, the proceeds must be yield restricted or the issuer must remit the appropriate yield reduction payment when due. FSAM performs a comprehensive yield restriction analysis when appropriate for all issues having proceeds remaining at the end of the applicable temporary period and also calculates the amount of the yield reduction payment due to the IRS. 116314-1 Calhoun County Commissioners' Court — October 12, 2017 9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 8) On Interlocal Cooperation Agreement between Bloomington Independent School District and Calhoun County to provide standby Ambulance Service at local football games and authorize County Judge to sign. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 7 of 28 INTERLOCAL AGREEMENT FOR PROVIDING STANDBY AMBULANCE TO FOOTBALL GAMES STATE OF TEXAS § § KNOW ALL MEN BY THESE PRESENTS: COUNTY OF CALHOUN § This Interlocal Cooperation Agreement is made and entered into by and between the Bloomington Independent School District (hereinafter "SCHOOL"), a political subdivision of the State of Texas, acting by and through its duly elected School Board and its acting superintendent, and Calhoun County, and all of its associated entities (hereinafter "COUNTY"), a political subdivision of the State of Texas, acting by and through its duly elected County Judge and Commissioners. WITNESSETH: In consideration of the mutual covenants and agreements set forth in this Contract, and other good and valuable consideration stated herein below, SCHOOL and COUNTY hereby mutually agree as follows: ARTICLE 1. PURPOSE It is the purpose of this agreement is facilitate and provide for STANDBY AMBULANCE SERVICE at the local football games in Port Lavaca, Texas. Specifically, the COUNTY is hereby contracting and agreeing with the SCHOOL to provide the labor, fuel and equipment necessary for the Calhoun County Emergency Medical Service to provide ambulance service at local football games. Pursuant to Section 791.001, the work is to be performed at property owned by the SCHOOL. The SCHOOL agrees to 1 provide access to the stadium for the EMS and their personal and ambulance that can be quickly accessed and egressed for any emergency. EMS and the COUNTY reserved the right to respond to another emergency in the County should they have too depending on the nature of the emergency call and the number of ambulances that are on duty or actively engaged in a call. The County will provide the ambulance, personnel and all appropriate equipment to property man and staff an emergency response ambulance according to proper standards and custom in the industry. The SCHOOL will pay the COUNTY the sum of $40.00 per hour for each paramedic or driver that is staffing the ambulance at the football game. The COUNTY will submit a bill the SCHOOL at the end of each month for these hours worked. ARTICLE II. AUTHORITY This Contract is entered into by the parties hereto pursuant to the Texas Interlocal Cooperation Act, Section 791.002 of the Texas Government Code. The authority for the legislation as set out in said Interlocal Cooperation Act. This Contract shall be governed by and subject to the laws of the State of Texas and, specifically, any of the terms and conditions of this Contract are subject to and shall be construed in accordance with the construction of the Texas Interlocal Cooperation Act recited hereinabove. ARTICLE III. TERMS The term of this Contract shall commence on the date of execution hereof and shall 4 continue until it is terminated by the SCHOOL and the COUNTY. ARTICLE IV. SEVERABILITY If any provision of the Contract is held invalid, such invalidity shall not affect other provisions or applications of the Contract which can be given effect without the invalid provision or application, and to the end of the provisions of this Contract are declared to be severable. ARTICLE V. MISCELLANEOUS PROVISIONS This Contract constitutes the entire agreement between COUNTY and SCHOOL and supersedes any prior understandings or written or oral agreements between the parties respecting the subject matter of this Contract. No amendment, modifications, or alteration of the terms of this Contract shall be binding unless it is in writing, dated subsequent to the date of this Contract, and duly executed by the parties to this Contract. If, as a result of a breach of this Contract by either parry, the other party employs an attorney or attorneys to enforce his rights under this Contract, then the defaulting party agrees to pay the other parties' reasonable attorney's fees and costs incurred to enforce this Contract. This Contract shall be binding upon and insure to the benefits of the parties hereto, their respective heirs, executors, administrators, legal representatives, successors and assigns. 3 EXECUTED IN DUPLICATE ORIGINALS, retained by each party hereto, effective the day of e +e- �z c 12017. CALHOUN COUNTY, TEXAS BLOOMINGTON INDEPENDENT SCHOOL DISTRICT By: By: rJou ichael Pfeifer, Co Judge Abbie B nett, Superintendent ATTEST: ATTEST: By: u By�._ . Anna Goodman, County Clerk is rasfiel , Deputy uperintendent Calhoun County, Texas Calhoun County Commissioners' Court — October 12, 2017 10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 9) On request by Victoria Electric for a 1200 square foot electrical easement, being a part of 14th Street as shown on the plat of Day Subdivision No.2 recorded in Volume Z, Page 419 of the Plat Records of Calhoun County, Texas, and as shown on the plat of the Townsite of Port O'Connor, recorded in Volume 2, Page 1 of the Plat Records of Calhoun County, Texas. (KF) RESULT: APPROVED [UNANIMOUS] MOVER: Kenneth Finster, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 8 of 28 October 2, 2017 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 Please place the following item on the Commissioners' Court Agenda for October 12, 2017. Consider and take necessary action to grant Victoria Electric a 1200 square foot electrical easement, being a part of 141h Street as shown on the plat of Day Subdivision NO. 2, recorded in Volume Z, Page 419 of the Plat Records of Calhoun County, Texas, and as shown on the plat of The Townsite of Port O'Connor, recorded in Volume 2, Page 1 of the Plat Records of Calhoun County, Texas. Sincerely, Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 —email: kenny.finster@pct4.or . —(361)785-3141—Fax(361)785-5602 LEGAL DESCRIPTION 1200 SQUARE FOOT 20 FOOT WIDE ELECTRICAL EASEMENT THE STATE OF TEXAS) THE COUNTY OF CALHOUN) BEING a 1200 square tool, 20 foot wide electrical easement, being a part of 14th Street (60 foot right-of- way) as shown on the plat of Day Subdivision NO. 2, recorded in Volume Z, Page 419 of (he Plat Records of Calhoun County, Texas, and as shown on the plat of The Townsite of Port O'Connor, recorded in Volume 2, Page 1 of the Plat Records of Calhoun County, Texas, said 1200 square foot, 20 fool wide electrical easement being described by metes and bounds as follows: BEGINNING at a found 5/8 inch steel rod for the intersection of the northeast right-of-way line of said 14th Street and the northwest right-of-way line of a 20 foot wide alley, for the south corner of Lot 7, Block 32 of said Townsite of Port O'Connor and for the north corner of the herein described easement; THENCE, with the northeast right-of-way line of said 14th Street, Sortth 26038'00" East, a distance of 20.00feet to a found 5/8 inch steel rod for the intersection of the northeas( right-of-way line of said 14th Street and the southeast right-of-way line of said 20 foot wide alley, for the west corner of Lot 6, Block 32 of said Townsite of Port O'Connor and for the east corner of the herein described casement; THENCE, crossing said l4lh Street, South 63022'00" Nest, a distance of 60.00 feet to a 5/8 inch steel rod set, with yellow cap stamped URBAN SURVEYING INC., for the intersection of the southwest right- of-way line of said 1411r Street and the southeast right-of-way line of said 20 foot wide alley, for the north comer of Lot I, Block 237 of said Day Subdivision NO.2 and for the south corner of the herein described easement; THENCE, with the southwest right-of-way line of said 14th Street, North 26 38'00" Nest, a distance of 20.00 feet to a 5/8 inch steel rod set, with yellow cap, for the intersection of the southwest right-of-way line of said 14th Street and the northwest right-of-way line of said 20 foot wide alley, for the east caner of Lot 12, Block 32 of said Townsite of Port O'Connor and for the west corner of the herein described easement; THENCE, crossing said 14th Street, Nath 63 22'00" East, a distance of 60.00 feet to THE POINT OF BEGINNING CONTAINING, within these metes and bounds 1200 square feet of land more or less. Bearings are based on bearing of record in Volume Z, Page 419 of the Plat Records of Calhoun County, Texas. Reference is made to that Plat accompanying this Legal Description. The above Legal Description was prepared fmm an actual survey made on the ground under my supervision in Septembe 0177. p.aisiE• -� DIVAN S LVEYING, INC. Registered Professional Land Surveyor Texas/ TERRY L RUDDICK exns No. 4943 Firm N10021100 522258.00 1200 SQ PT easement ? • 4943 _�. I Calhoun County Commissioners' Court — October 12, 2017 11. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 10) On contract for debris removal with Tivoli Company and authorize County Judge to sign. (VL) RESULT: APPROVED [UNANIMOUS] MOVER: Kenneth Finster, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 9 of 28 Vern Lyssy Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 October 5, 2017 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: F44,,,,cc or Tfr ��,yrYyUe cM1 ago (361) 552-9656 Fax (361) 553-6664 Please place the following item on the Commissioners' Court Agenda for October 12, 2017. • Consider and take necessary action on debris removal contract with Tivoli Company. Sincerely, �r 4,v� Vern Lyssy VL/Ij AGREEMENT Between CALHOUN COUNTY And TIVOLI COMPANY STATE OF TEXAS COUNTY OF CALHOUN WHEREAS, CALHOUN COUN'T'Y, hereinafter COUNTY, a political subdivision of the State of Texas, has determined that the expenditure of county funds proposed herein is one which serves a public purpose and has further determined that the State of Texas, by its Constitution or by its state statutes, either implicitly or explicitly, has conferred upon COUNTY tile authority, the power and the jurisdiction to accomplish the uses for said fiords as proposed herein, infra. WHEREAS, the Disaster Area caused by hurricane Harvey has created a proliferation of brush debris, which, if not disposed of quickly, will pose a danger to the citizens of COUNTY. WHEREAS, TIVOLI COMPANY, desires to enter into such a contract for the provision of certain services for the COUNTY; said services being considered by both parties to this contract as fair consideration from TIVOLI COMPANY to COUNTY in exchange for the funds transferred hereby. 17' IS THEREFORE AGREED THAT: 1. Payment by County: Inconsideration that the services described below to the resident of COUNTY, TIVOLI COMPANY shall be entitled to a sum of $90 per hour for the purpose of brush debris cleanup. 2. Term: The Term of this contract is to begin on September 5, 2017. CALHOUN COUNTY TIVOLI COMPANY MICHAEL J. PFEIFER .IACKIE MEYER r,. l� �_• f._. i 1 YL Date:__. � � Zl � � Date: CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos, 1- 4 and 6 it there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if (here are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2017-269635 Tivoli Company Port Lavaca, TX United States Date Filed: 10/09/2017 2 Name of governmental entity or stale agency that Is a party to the contract for which the form is being filed. Calhoun County Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identity the contract, and provide a description of the services, goods, or other property to be provided under the contract. Sept-Oct201'7 Hurricane Debris Removal Pct. 4 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling I intermediary 5 Check only if there is NO Interested Party. ❑ x 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. YP IESA,1JREK [j•�MV COMMISSION EXPIRES �— t OcbEa 2A, 4018 — •--- _, _ - Signature of aull r ent of contracting business entity AFFIX NOTARY STAMP l SEAL ABOVE ' l,, ,y.y/,, Sworn to hurt subscribed before me, by the said '"' ` � " 7 ���r , this the clay of _/��Cr 20--a—, to certify which, witness my hand and seal of office. 04 16 Slgni t ffi administering oath Printed name of officer administering oath Title of officer adminis(e ' g oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.3337 CERTIFICATE OF INTERESTED PARTIES FORM 1295 loft Complete Nos, 1- 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2017-269635 Date Filed: 10/09/2017 Date Acknowledged: 10/19/2017 1 Name of business entity filing torn, and the city, state and country of the business entity's place of business. Tivoli Company Port Lavaca, TX United States 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. Sept-Oct2017 Hurricane Debris Removal Pct. 4 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said this the day of , 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.3337 I Calhoun County Commissioners' Court— October 12, 2017 12. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 11) On Agreement between Calhoun County and Tivoli Company for the service of the removal of excess brush debris caused by Hurricane Harvey and authorize County Judge to sign. (KF) RESULT: APPROVED [UNANIMOUS] MOVER: Kenneth Finster, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 10 of 28 October 2, 2017 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 Please place the following item on the Commissioners' Court Agenda for October 12, 2017. • Discuss and take necessary action on Agreement between Calhoun County and Tivoli Company for the service of the removal of excess brush debris caused by Hurricane Harvey and authorize Judge Pfeifer to sign. Sincerely, W. Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 — email: keoll finsterC-1pc[4.ore — (361) 785-3141 — Fax (361) 785-5602 AGREEMENT Between CALHOUN COUNTY And TIVOLI COMPANY STATE OF TEXAS [K0=0 9: Cal 001 WHEREAS, CALHOUN COUNTY, hereinafter COUNTY, a political subdivision of the State of Texas, has determined that the expenditure of county funds proposed herein is one which serves a public purpose and has further determined that the State of Texas, by its Constitution or by its state statutes, either implicitly or explicitly, has conferred upon COUNTY the authority, the power and the jurisdiction to accomplish the uses for said funds as proposed herein, infra. WHEREAS, the Disaster Area caused by Hurricane Harvey has created a proliferation of brush debris, which, if not disposed of quickly, will pose a danger to the citizens of COUNTY. WHEREAS, TIVOLI COMPANY, desires to enter into such a contract for the provision of certain services for the COUNTY; said services being considered by both parties to this contract as fair consideration from TIVOLI COMPANY to COUNTY in exchange for the fiords transferred hereby. IT IS THEREFORE AGREED THAT: 1. Payment by County: Inconsideration that the services described below to the resident of COUNTY, TIVOLI COMPANY shall be entitled to a sum of $90 per hour for the purpose of brush debris cleanup. 2. Term: The Term of this contract is to begin on September 26, 2017. CALHOUN COUNTY MICHAEL J. PFEIFER By: f 1 E { Date: ff.<.t -12 TIVOLI COMPANY JACKIE MEYER Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.3337 CERTIFICATE OF INTERESTED PARTIES FORM 1295 Toil Complete Nos, 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested patties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2017-269633 Tivoli Company Part Lavaca, TX United States Date Filed: 10/09/2017 2 Name of governmental entity or state agency that is a party to the contract for w do I the form is being filed. Calhoun County Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. Sept2017 Hurricane debris removal 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. X 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure Is true and correct. 0 LEBAJ1JREK j• MY COMMISSION EXPIRES f omol,er2e,2ole �_ h7�a Signatu a of authori&1 z ent of contracting business entity AFFIX NOTARY STAMP f SEAL ABOVE �))� � /y�• Sworn 1 nd subscribed before me, by the said _/`�l,vvlb� `�r , this the / day of �� , 20�, to certify which, witness my hand and seal of office. gnat of of!ii:e inistering oadt Printed name of officer administering oath Title of officer admini tering unit) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.3337 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.3337 CERTIFICATE OF INTERESTED PARTIES FORM 1295 l of l Complete Nos. 1- 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2017-269633 Date Filed: 10/09/2017 Date Acknowledged: 10/19/2017 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Tivoli Company Port Lavaca, TX United States 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract, Sept2017 Hurricane debris removal 4 Name of Interested Party City, Slate, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP/ SEAL ABOVE Sworn to and subscribed before me, by the said this the day of 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.3337 I Calhoun County Commissioners' Court — October 12, 2017 13. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 12) On FY2018 Indigent Defense Formula Grant Request for Applications and authorize county judge to sign Resolution and apply online (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Michael Pfeifer, County Judge SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 11 of 28 ETTIDC TEXAS INDIGENT DEFENSE COMMISSION September 12, 2017 The Honorable Michael Pfeifer CHAIR: Calhoun County Judge The Honorable Sharon Keller 211 S. Ann St, 3rd Floor Presiding Judge Port Lavaca, TX 77979 Court of Criminal Appeals Ex OPFICID MEMBERS: Re: FY18 Formula Grant Request for Applications The Honorable Sharon Keller The Honorable Nathan Hecht The Honorable John Whitmire Dear Judge Pfeifer: The Honorable Brandon Creighton The Honorable Josephre w Muff g "Joe" Moody Andre The Honorable AndThe Texas Indigent Defense Commission announces the attached FYI Formula The Honorable Sherry Radack Grant Request for Applications (RFA). Applications are due November 15, The Honorable Linda Rodriguez 2017. The attached packet provides information on what is needed for counties MEMBERS APPOINTED BY GOVERNOR: to obtain the FYI Formula Grant funds. Mr. Alex Bunin The Honorable Jon Burrows The Honorable Richard Evans The local administrative judges and chairs of Juvenile Boards must submit their Mr. Donf abiennial indigent defense plans b November 1, 2017 through our on -lines stem The Honorable Missy Medary g P )' g y EXECUTIVE DIRECTOR: (https://tidc.tamu.edu). Staff will continue to work with counties to ensure that James D. Bethke all of the statutory and Commission required elements are included in each plan if judges make amendments. Also, financial officers must submit their Indigent Defense Expense Report by November 1, 2017. Both of these requirements are directed in Texas Government Code §79.036. This FYI Formula Grant packet is sent to all 254 constitutional county judges. A courtesy letter will be sent to all local administrative district and statutory judges and county financial officers informing them of the formula grant program. The Commission adopted Texas Administrative Code Chapter 173 in order to implement the grant authority established by the Texas Legislature. These administrative rules and the attached RFA are available at: www.tidc.texas.sov. The rules and the RFA establish the guidelines for the administration of grant funds and application submission process for FYI 8. Please contact Edwin Colfax, Grant Program Manager at ecolfax ,tide.texas.gov or toll free in Texas at (866) 499-0656, if you have any questions about the FYI Formula Grant or the application process. Sincerely, Sharon Keller Chair, Texas Indigent Defense Commission Presiding Judge, Court of Criminal Appeals Enclosed: FYI Formula Grant RFA Texas Indigent Defense Commission 209 West 1411 Street, Room 202 • Austin, Texas 78701 512.936.6994 www.tidc.texas.gov TEXAS INDIGENT DEFENSE COMMISSION 209 West 14" Street, Suite 202 Price Daniel, Sr. Building, Phone: 512-936-6994, Austin, Texas 78701, rax: 512-463-5724 www.&de.texas.gov FY2018 Formula Grant Program Request for Applications (RFA) Issued September 2017 Formula Grant Program Overview The Texas Indigent Defense Commission (Commission) provides financial and technical support to counties to develop and maintain quality, cost-effective indigent defense systems that meet the needs of local communities and the requirements of the Constitution and state law. Formula Grants are awarded to eligible Texas counties to help counties meet constitutional and statutory requirements for indigent defense and to promote compliance with standards adopted by the Commission. Application Due Date Formula grant applications for Fiscal Year 2018 must be submitted on-line by Wednesday, November 15, 2017. The grant period is October 1, 2017 through September 30, 2018. Total FY 2018 Formula Grant Amount Budgeted: $22,320,000 Eligibility for Formula Grants Only Texas counties may apply. Counties must meet the following requirements: 1) Indigent Defense Expenditure Report — All counties are statutorily required (Texas Government Code Sec. 79.036 (e)) to submit an Indigent Defense Expenditure Report each year on November 1 in the form and manner prescribed by the Commission. Counties that do not complete the Indigent Defense Expense Report on or before November 1, 2017 may have payments temporarily suspended by Commission staff until the report is submitted and reconciled by staff. 2) Indigent Defense Plan Requirements — The Local Administrative District Judges, the Local Statutory County Court Judges (or County Judge as applicable) and the Chairman of the Juvenile Board for each county must submit a copy of all formal and informal rules and forms that describe the procedures used in the county to provide indigent defendants with counsel in accordance with the Code of Criminal Procedure (Countywide Plans) to the Commission as required in Government Code §79.036. The Countywide Plans submitted must be in compliance with applicable statutes and rules and must meet the minimum requirements for each plan section as outlined in the Biennial Indigent Defense Countywide Plan Instructions. Plans must be submitted by November 1, 2017. Formula grant payments during the year may be withheld until plans are submitted or meet the minimum requirements for each plan section set by Commission. I of 5 pages FYI Formula Grant RFA Application Due: NOVEMBER 15, 2017 Application Steps a. Go to the PPRI Commission website at https://tide.tamu.edu. b. Sign in and enter the User ID and Password or contact PPRI (Follow on-line page instructions). c. Select "FY2018" and your county in the upper left part of the screen. d. Select "Apply for Formula Grant" from the column on the left side of the screen. e. Review the eligibility requirements. The screen will display the County's compliance status regarding indigent defense plans. Counties that have outstanding requirements will not be able to receive funds until they meet all grant program eligibility requirements. If indigent defense plans are not marked "Complete" counties should still submit the application and then contact the Commission for instructions to resolve plan compliance issues. £ Identify the individuals in the following grant positions as required in Texas Administrative Code Rule 173.301. i. Authorized official - This person must be authorized to apply for, accept, decline, modify, or cancel the grant for the applicant county. A county judge or a designee authorized by the governing body in its resolution may serve as the authorized official ii. Fiscal Officer - This person must be the county auditor or county treasurer if the county does not have a county auditor. Use the "Change" button make changes as needed to officials or contact information. g. Click the "Submit" button at the bottom of the screen. You should be taken to a confirmation page at that point. h. Maintain confirmation – When the system provides a confirmation page to the grant officials confirming that the application has been completed and informing them that the resolution must be adopted by the commissioner's court and then faxed to the Commission. PLEASE PRINT THE CONFIRMATION PAGE. i. Select the "Resolution" link in the confirmation page to create your county's resolution form. j. Print or download resolution. The system will allow the user to download a resolution as a Microsoft Word document or provide an opportunity to print the document. Please use the resolution printed from the website. The resolution must be adopted by the commissioners court. k. Please scan the resolution adopted by commissioners court and then upload it in the application page of the website on or before the DUE DATE Wednesday, November 15, 2017. Alternatively, you may email the resolution to Heather Caspers (heaspers ty,ppri.tamu.edu) or fax it to 888-351-3485. Contact Edwin Colfax, Grants Administrator, ecolfax@tidc.texas.gov or 512-463-2508 for questions. Notice of Funding Statement of Grant Award — Statements of Grant Awards will be prepared as authorized by the Commission. These may include special conditions. The e-mail with the attached Statements of Grant Award will be directed to the official designated in the resolution adopted by the commissioners' court. The County will have thirty days to notify the grant administrator of errors or cancelation after receipt of the award. • Special Conditions —The Commission may determine special conditions or authorize staff to apply the conditions on criteria set by the Commission (TAC 173.201). The Commission may develop special conditions that relate to expenditures, compliance with statutory requirements or standards adopted by the Commission. 3 of 5 pages FYI Formula Grant RFA Application Due: NOVEMBER 15, 2017 Authorization to Fund, Applicable Authority and Rules Texas Government Code Sec. 79.037. TECHNICAL SUPPORT; GRANTS. (a) The commission shall: (1) provide technical support to: (A) assist counties in improving their indigent defense systems; and (B) promote compliance by counties with the requirements of state law relating to indigent defense; (2) to assist counties in providing indigent defense services in the county, distribute in the form of grants any funds appropriated for the purposes of this section; and (3) monitor each county that receives a grant and enforce compliance by the county with the conditions of the grant, including enforcement by: (A) withdrawing grant funds; or (B) requiring reimbursement of grant funds by the county. (b) The commission shall distribute funds as required by Subsection (a)(2) based on a county's compliance with standards adopted by the board and the county's demonstrated commitment to compliance with the requirements of state law relating to indigent defense. (c) The board shall adopt policies to ensure that funds under Subsection (a)(2) are allocated and distributed to counties in a fair manner. (d) A county may not reduce the amount of funds provided for indigent defense services in the county because of funds provided by the commission under this section. Texas Administrative Code Chapter 173 Uniform Grant Management Standards (UGMS) 5 of 5 pages FYI Formula Grant RFA Application Due: NOVEMBER 15, 2017 2018 Calhoun County Resolution Indigent Defense Grant Program WHEREAS, under the provisions of the Texas Government Code Section 79.037 and Texas Administrative Code Chapter 173, counties are eligible to receive grants from the Texas Indigent Defense Commission to provide improvements in indigent defense services in the county; and WHEREAS, this grant program will assist the county in the implementation and the improvement of the indigent criminal defense services in this county; and WHEREAS, Calhoun County Commissioners Court has agreed that in the event of loss or misuse of the funds, Calhoun County Commissioners assures that the funds will be returned in full to the Texas Indigent Defense Commission. NOW THEREFORE, BE IT RESOLVED and ordered that the County Judge of this county is designated as the Authorized Official to apply for, accept, decline, modify, or cancel the grant application for the Indigent Defense Formula Grant Program and all other necessary documents to accept said grant; and BE IT FURTHER RESOLVED that the County Auditor is designated as the Financial Officer for this grant. Adopted this 12" day of October, 2017. Attest u County Clerk N0�k Micha 1 P fifer County Judge co�v I Calhoun County Commissioners' Court— October 12, 2017 14. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 13) On new fees for Calhoun County Recycle Center (See Attached) (VL) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Clyde Syma, Cormuissioner Pet 3 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 12 of 28 Vern Lyssy Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 October 9, 2017 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: (361)552-9656 Fax (361) 553-6664 Please place the following item on the Commissioners' Court Agenda for October 12, 2017 Consider and take necessary action on new fees for Calhoun County Recycle Center (see attached) Sincerely/ Vern Lyssy Commissioner, Pct. 2 VLllj CALHOUN COUNTY USER FEES HOUSEHOLD TRASH & METAL ONLY NO COMMERCIAL WASTE NO CONSTRUCTION, DEMOLITION OR BURN BARRELS ACCEPTED APPLIANCES MUST BE OIL FREE AND COMPRESSORS REMOVED MINIMUM FEE --$10.00 MIXED WASTE -16 FT. TRAILER ----------------------------- $100.00 PICKUPS -SMALL TO FULL SIZE ------------------------ $20.00-$30.00 COUCHES --------------------------------------------------- $15.00 EACH RECLINERS -------------------------------------------------- $10.00 EACH MATTRESSES -------------------------- --------------------$10.00 EACH TIRES, NO RIMS, UP TO 17" $3.00 EACH BRUSH -P I CKU P TO 16 FT TRAILER ------------------- $10,00-$40.00 APPLIANCES -OIL FREE ----------------------------------- $10.00 EACH NO PAINTS, LIQUIDS, CHEMICALS OR CYLINDERS ACCEPTED I Calhoun County Commissioners' Court— October 12, 2017 15. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 14) Regarding the 3 year Aviation Support & Maintenance Services Contract with DBT Transportation Services for the Calhoun County Airport AWOS System and authorizes all appropriate signatures. (VL) RESULT: APPROVED [UNANIMOUS] MOVER: Kenneth Finster, Commissioner Pet 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 13 of 28 Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 September 19, 2017 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: (361) 552-9656 Fax (361) 553-6664 Please place the following item on the Commissioners' Court Agenda for October 12, 2017. • Consider and take necessary action regarding the 3 year Aviation Support & Maintenance Services Contract with DBT Transportation Services for the Calhoun County Airport AWOS System and authorize all appropriate signatures. Sincerely, Vern Lyssy VL/Ij TRANSPORIATION SERVICES AVIATION SUPPORT AND MAINTENANCE SERVICES Order and Pricing Schedule DBT Transportation Services 2655 Crescent Drive, Ste A-1 Lafayette, Colorado 80026 Email: Customer: Calhoun County Airport (PKV) Attn: Lou Svetlik, Manager 5812 FM 1090 Email: Port Lavaca, TX 77979 mail.com This Order and Pricing Schedule is incorporated by reference into the Agreement for Transportation Services and Maintenance between the parties, and the Statement of Work, and made a part thereof. The Effective Date of this Agreement is September 1 st 20 17 The Term of this Agreement shall be for a period of 3 year(s) from the Effective Date. Services (check as applicable) Parts Excluded 9 Periodic/Pre-Season Maintenance 3 trips H Equipment Restoration Unlimited N Data Service — NADIN Service Equipment Manufacturer/Model Equipment Manufacturer/Model ❑ VOR $ 5,966.00 ❑ RWIS ❑ DME $ 1,500.00 ❑ RWIS Runway ❑ LOC $ 1,500.00 ❑ NDB ❑ GS $ 500.00 ❑ Control Tower H AWOS Vaisala ❑ Markers ❑ RVR ❑ Other Fees I Contract Total: $1 7,898.00 Annual Fee $ 5,966.00 Invoiced Annually Unplanned Outage Fee $ 1,500.00 per day (ex. lightning strike, bird strike) Facility Visit Fee $ 1,500.00 per day ex. flight check Holiday Fee $ 500.00 per day additional Cancellation/Delay Fee $ 500.00 per da DBT 2016 Page 1 of 2 Statement Attachment 1: Terms and Conditions Attachment 2: Statement of Work - AWOS & Navaids Maintenance Attachment 3: Statement of Work - Data Services Invoice Contact (Accts. Payable): Airport Manager/Authority: Name: County of Calhoun (Attn: Vern Lyssy) Name: Lou Svetlik Address: Calhoun County Courthouse Address: 5812 FM 1090 Port Lauaca Port Lavaca, TX 77979 Port Lavaca, TX 77979 Phone: 361-553-4600 Phone: 361-552-9656 Email: vern.lyssy@calhouncotx.org Email: calhounaircenter@gmail.com Invoice Instructions: Invoices are emailed by DBT. Please provide an email address where to send invoices. Lesa.Jurek@calhouncotx.org Accepted and agreed to by the duly authorized signatories below. DBT Transportation Services Calhoun County Airport (PKV) A P By: By: '(f Title: Sales Manager Title: Altf,.l `,o d Le Date: August 1, 2017 Date: /j, DBT 2016 Page 2 of 2 TRANSPORTATION SERVICES AWOS and Navaid Maintenance Statement of Work 1. Description of Equipment Services 1.1 Periodic Maintenance consists of such periodic routine tests and adjustments as may be required by the equipment manufacturer and by the FAA for non -Federal facilities in accordance with 14 C.F.R Part 171 and AC 150/5220-16C as they may be modified or superseded from time to time. 1.2 Equipment Restoration. In the event of an unplanned equipment failure or outage, DBT Transportation Services shall notify the customer as to the restoration plan of action within one (1) business day after the outage is reported and complete restoration services in a reasonable prompt manner. Diagnosis may be performed remotely and render the system inoperable until which time replacement equipment/parts can arrive to Customer's site. Repairs required - due to Acts of God, lightning, vandalism, etc. are excluded and will be billed at the Unplanned Outage price. 1.3 All services provided by DBT shall be performed by qualified field technicians having all required certifications and licenses required by the FAA and OSHA. DBT will also maintain a full Aviation Products and Liability Insurance policy for the term of the contract. 1.4 DBT shall record test results in a station log and maintain the required 6000 series records, copies of which will be provided to the FAA as required. 1.5 DBT shall make a best effort to maintain and repair all equipment. Customer acknowledges that components and equipment under contract may be obsolete rendering repair or restoration of equipment impossible. 2. Testing Equipment and Replacement Parts — Navaids Only 2.1 Customer shall at its own expense furnish, maintain and calibrate test equipment in accordance with FAA requirements. 2.2 Customer shall maintain at its own expense an inventory of replacement parts for the Equipment to be utilized by DBT when providing Service under this Agreement. In the event parts necessary for maintenance or restoration of the Equipment are not available in Customer's Inventory, DBT will provide such part(s) and invoice the Customer for required part(s). If customer does not have the necessary spare parts available for use in restoring the Equipment, DBT reserves the right to charge $1500 for a return trip charge. 3. Customer Responsibilities 3.1 Customer shall be responsible for monitoring the status of the systems following maintenance by DBT. 3.2 Customer shall be responsible for providing transportation and/or access for DBT personnel between the airport office and the location of the Equipment. 3.3 Customer shall be responsible for providing security in and around the Equipment to be maintained under the Agreement. 3.4 Customer shall be responsible for any loss or damage to the Equipment for reasons other than the fault of DBT and for providing any insurance Customer may desire to cover any such loss or damage. 3.5 Customer shall be responsible for the issuance of all NOTAMS (Notice to Airmen) relating to the status of the facilities to be maintained under this Agreement. 3.6 Customer shall be responsible for maintaining the grounds and buildings associated with the NAVAID (Navigational Aids) and Equipment in good repair and in compliance with all FAA and all applicable laws. 3.7 Customer shall be responsible for the purchase of all replacement components for AWOS and Navaid equipment. TRANSPORTATION SERVICES Attachment 1 DBT Transportation Services LLC Agreement for Aviation Support and Maintenance Services Terms and Conditions 1. PURPOSE/SERVICES: 1.1 Customer desires to engage DBT Transportation Services, LLC (DBT) to render certain professional and/or technical services, including as recited in the Statement of Work ("SOW') and as Indicated In the Order and Pricing Schedule, related to the support, maintenance and servicing of certain Equipment, and DBT desires to render such services under the terms and conditions of this Attachment 1, the SOW and the Order and Pricing Schedule. All terms not defined herein, including "Services", "Equipment" and "Term", shall have the meaning set forth in the Order and Pricing Schedule. This Attachment 1, the Order and Pricing Schedule and the SOW make up the complete agreement (the "Agreement") between Customer and DBT, and each may be amended, upon mutual written agreement, from time to time throughout the Term. 1.2 This Attachment 1 constitutes the terms and conditions offered with respect to the provision of Services and Equipment recited in the Order and Pricing Schedule and shall become a binding contract upon the execution of the Order and Pricing Schedule either by facsimile or in PDF form, by Customer and DBT. No contrary or additional terms or conditions proposed by Customer under any other document, including but not limited to a Customer purchase order, will be accepted by DBT, and any such proposed contrary or additional terms are hereby rejected unless otherwise mutually agreed to in a written fully executed instrument. DBT's performance pursuant to this Attachment 1, the Order and Pricing Schedule and the SOW shall be deemed unqualified acceptance of the terms and conditions set forth below. 2. PAYMENT/OTHER EXPENSES/ADDITIONAL CHARGES: 2.1 Customer agrees to pay DBT the amounts recited in the Order and Pricing Schedule. 2.2 DBT shall invoice Customer on an annual, quarterly or monthly basis, as applicable, based on the Services for the Equipment specified as more particularly recited under the Order and Pricing Schedule. Payment by Customer shall be net thirty (30) days of the invoice date. 2.3 Customer may withhold payment of any amounts to be paid to DBT which are disputed In good faith by Customer. In the event there is a dispute in connection with a submitted invoice, the parties shall confer on the invoice within five (5) days of receipt, and only the payment for that portion of the Invoice in question may be withheld for ten (10) days after the payment due date so as to allow the parties to cooperatively resolve any dispute. Following the elapse of such ten (10) days, Customer shall pay, unless otherwise agreed by the parties, all the amounts due and owing to DBT under the invoice. 2.4 In accordance with the Order and Pricing Schedule, if restoration, repairs or other maintenance Services are required for an unplanned Equipment failure or outage, Customer shall pay DBT the recited "Unplanned Outage Fee". The "Unplanned Outage Fee" is billed in half-day increments, portal to portal, plus travel costs and expenses. Unplanned outages are defined as any restoration outside of normal or anticipated causes of Equipment failure, which outside causes include, but are not limited to, acts of God, weather damage, lightning strikes, vandalism or other damage caused by unauthorized airport personnel or third parties. The "Unplanned Outage Fee" is billed for each day or part thereof that Services are required. 2.5 In accordance with the Order and Pricing Schedule, the applicable "Holiday Fee" as recited in the Order and Pricing Schedule applies to the following holidays when Services are rendered: New Year's Eve, New Years Day, Memorial Day, July 41'(independence Day), Labor Day, Thanksgiving Day, the day after Thanksgiving Day, Christmas Eve and Christmas Day. If an Equipment failure or outage occurs on any of the foregoing holidays, Customer shall pay DBT the "Holiday Fee" in addition to the" Unplanned Outage Fee" as well as any other fees due and payable to DBT. 2.6 In accordance with the Order and Pricing Schedule, Customer Site (as subsequently defined) visits are defined as any Site visit not required for Equipment Services. Upon Customer's written request and DBT's written acceptance thereof and subject to mutually agreeable times, DBT will visit Customer Sites concurrent with Federal Aviation Administration (FAA) required or requested 2655 Crescent Drive I Lafayette, CO 80026 1 844-3GETDBT I info@DBTTranServ.com I www.DBTTranServ.com ®�. ..- JL TRANSPORTATION SERVICES Customer Site visits. Customer agrees to pay the "Facility Visit Fee" to DBT for such Customer Site visits. The "Facility Visit Fee' is billed in half-day increments, portal to portal, plus travel costs and expenses. 2.7 In accordance with the Order and Pricing Schedule, and in DBT's sole opinion, if cancellations or excessive delays, in the provisions of Services occur as a result of Customer's fault, actions or causes, Customer shall pay DBT the "Cancellation/Delay Fee". The "Cancellation/Delay Fee" is billed in half-day increments, portal to portal, plus travel costs and expenses. 3. TERM: 3.1 The Term of the Agreement is in accordance with the Order and Pricing Schedule, shall be as recited in the Order and Pricing Schedule unless earlier terminated pursuant to this Attachment 1. 3.2 The parties may extend, upon mutual written agreement, the Term of the Agreement. - 4. TERMINATION/OBLIGATIONS UPON TERMINATION: 4.1 This Agreement may be terminated by DBT, without cause and at any time, upon ninety (90) days written notice. The period of termination shall start from the date of the notice to Customer. Customer shall not be obligated to pay for any Services rendered after the date of termination, except that Customer shall be responsible for non -cancellable expense or commitment amounts that occur before the termination date and that such amounts shall remain due, owing and payable after the date of termination. The parties acknowledge that any amounts paid to DBT shall be non-refundable. 4.2 In the event of a material breach by Customer, DBT shall notify, in writing, Customer of such material breach. Customer shall be permitted thirty (30) days from the date of receipt of such notice to cure such breach to DBT's satisfaction. In the event the breach is cured to DBT's satisfaction, the Agreement shall not terminate. However, if the breach is not so cured, DBT may elect to promptly terminate the Agreement following the lapse of such thirty (30) days from the receipt of such notice. In the event of termination of the Agreement due to a material breach by Customer, other than of the type specified in Section 7.1 herein, the obligations under Section 4.3 shall be applicable. 4.3 In the event of termination of the Agreement either as provided herein or upon expiration of the Agreement, each party shall promptly return all Confidential information (as subsequently defined) of the other party and DBT shall submit a final Invoice, as recited above, for Services rendered up to the date of termination and for all non -cancellable expense or commitment amounts that occur before the termination date, which amounts remain due, owing and payable. Customer shall promptly pay such invoiced amount net ten (10) days from the invoice date. 5. WARRANTIES: 5.1 DBT warrants and represents that all Services provided by DBT shall be performed by qualified field technicians and by other personnel, who have all certifications and licenses required by the FAA. Further, DBT warrants and represents that all Services provided hereunder shall be of a professional quality consistentwith general industry standards and shall be performed in accordance with the requirements of the SOW and as specified under the Agreement. 5.2 DBT represents and warrants that it is an Independent contractor that makes its services available to the general public, has its own place of business and maintains Its own sets of books and records, which reflect its own income and expenses. Further, DBT shall operate as an independent contractor and shall not represent itself as an agent, partner orJoint venturer of Customer. DBT shall not obligate Customer in any manner, nor cause Customer to be liable under any contract or under any other type of commitment. Alternately, Customer shall not obligate DBT in any manner, nor cause DBT to be liable under any contract or under any other type of commitment. 5.3 THIS IS A SERVICE AGREEMENT. TO THE MAXIMUM EXTENT PERMITTED UNDER APPLICABLE LAW, DBT MAKES NO WARRANTIES AND EXPLICITLY DISCLAIMS ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO, WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR RELIABILITY OR ACCURACY OF ANY GENERATED DATA OR INFORMATION FROM THE EQUIPMENT. THE EXPRESS WARRANTIES PROVIDED IN SECTIONS 5.1 AND 5.2ARE EXCLUSIVE, AND DBT MAKES NO OTHER WARRANTIES, EXPRESS, STATUTORY 2655 Crescent Drive I Lafayette, CO 80026 1 844-3GETDBT I info@DBTTranServ.com 1 www.DBTTranServ.com TRANSPORTATION SERVICES OR IMPLIED, WRITTEN OR ORAL, TO CUSTOMER REGARDING, RELATED TO OR ARISING FROM THE SERVICES RENDERED UNDER THE AGREEMENT, THE USE OR POSSESSION OF DBT CONFIDENTIAL AND PROPRIETARY INFORMATION, ANY REPORT OR DATA GENERATED UNDER OR IN CONNECTION WITH THIS AGREEMENT, IN ANY MANNER OR FORM WHATSOEVER. 6. LIMITATION OF LIABILITY / INDEMNIFICATION: 6.1 DBT will be permitted to enter Customer's premises ("Site") and have access to Customers personnel or equipment upon reasonable notice and during normal business hours; provided that DBT complies with Customer's security procedures. DBT shall maintain aviation products and comprehensive liability insurance, as recited below, during the Term of the Agreement. DBT agrees to take all reasonable precautions to prevent any injury to persons or any damage to property in the performance of the Services as rendered by DBT under the Agreement. However, in the event Customer is negligent or engages in misconduct, then Customer shall be liable for such damages as provided herein. 6.2 DBT's entire liability hereunder to Customer for any breach of the Agreement shall be limited only to the amounts of fees paid hereunder to DBT in connection with the Services that gave rise to the claim, except for any damages or claims for damages or equitable relief resulting from DBT's breach of Customer's proprietary and/or confidential interest as set forth in Section 9. Potential liability for claims by third parties is covered by Sections 6.4 and 6.5 below. NEITHER PARTY SHALL BE LIABLE FOR LOSSES OR DAMAGES WHICH ARE INDIRECT, INCIDENTAL, CONSEQUENTIAL, SPECIAL OR EXEMPLARY, INCLUDING WITHOUT LIMITATION, ANY LOSS OF PROFITS OR REVENUE (EXCLUSIVE OF THE FULL PAYMENT FOR SERVICES RENDERED PURSUANT TO THE TERMS OF THE AGREEMENT) INCURRED BY EITHER PARTY WHETHER IN AN ACTION BASED ON CONTRACT OR TORT, EVEN IF A PARTY HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, WHETHER FORESEEABLE OR UNFORESEEABLE, BASED ON CLAIMS OF SUPPLIER OR ANY OTHER PARTY ARISING OUT OF BREACH OR FAILURE OF EXPRESS OR IMPLIED WARRANTY, BREACH OF CONTRACT, MISREPRESENTATION, NEGLIGENCE, STRICT LIABILITY IN TORT, FAILURE OF ANY REMEDYTO ACHIEVE ITS ESSENTIAL PURPOSE, OR OTHERWISE ARISING FROM OR RELATED TO THE THIS AGREEMENT, AND THE SERVICES PERFORMED HEREUNDER, EXCEPT WITH RESPECT TO DAMAGES INCURRED WITH REGARD TO CLAIMS OF INFRINGEMENT, MISUSE OR MISAPPROPRIATION OF A PARTY'S PROPRIETARY AND/OR CONFIDENTIAL INFORMATION. 6.3 With regard to proprietary and/or confidential information and rights and interests, either party shall be entitled to pursue any legal and/or equitable action, including injunctive relief, against the other with regard to any misuse, misappropriation or breach of any term or condition recited herein with regard to such other party's confidential and/or proprietary claims. 6.4 Customer shall defend, indemnify and save harmless DBT, or its agents, employees, consultants or contractors, from any and all third -party claims, demands, sults, actions or proceedings of any kind or nature, Including without limitation Worker's Compensation claims, of or by anyone that directly results from or directly arises out of Customer's actions, activities or events in connection with the Agreement or with respect to any negligent action, intentional or willful act or omission by Customer, or Its agents, employees, consultants or contractors; provided, however, that DBT shall not be indemnified, held harmless and/or defended by Customer in connection with the foregoing claims of property damages, or death or personal injury where DBT, or its agents, employees, consultants or contractors, are, in any manner, negligent, or, in any manner, commit willful or intentional acts or omissions that result in such claims made. Customers obligations to indemnify, defend and hold harmless will survive the termination of the Agreement for a period of one (1) year from the date of termination. DBT agrees to notify Customer within five (5) business days after it has received written notification of such loss due to damage to property, injuries or death to persons. 6.5 DBT shall defend, indemnify and save harmless Customer, or its agents, employees, consultants or contractors, from any and all third -party claims, demands, suits, actions or proceedings of any kind or nature, including without limitation Worker's Compensation claims, of or by anyone that directly results from or directly arises out of DBT's actions, activities or events in connection with the Agreement, including negligent Services, Intentional or willful acts or omissions of DBT, or its agents, employees, consultants or contractors; provided, however, that Customer shall not be indemnified, held harmless and/or defended by DBT in connection with the foregoing claims of property damages, or death or personal injury where Customer, or its agents, employees, consultants or contractors, are, in any manner, negligent, or, in any manner, commit willful or intentional acts or omissions that result in such claims made. DBT's obligations to indemnify, defend and hold harmless will survive the termination of the Agreement for a period of one (1) year from the date of termination. Customer agrees to notify DBT within five (5) business days after it has received written notification of such loss due to damage to property, injuries or death to persons. Indemnification obligations of DBT under this section are subject to the limits set forth in Section 6.6. 2655 Crescent Drive Lafayette, CO 80026 844-3GETDBT I info@DBTTranServ.com www.DBTTranServ.corn TRANSPORTATION SERVICES 6.6 During the term of the Agreement and for a period of at least one (1) year after completion of DBT's obligations pursuant hereunder, DBT will maintain the following levels of Insurance coverage with a reputable and financially sound insurance carrier: (a) workers' compensation insurance as required by applicable law; (b) employer's liability insurance with limits not less than US $1 MILLION; (c) Commercial General Liability, including Products and completed Operations and Contractual Liability, with a minimum combined single limit of US $2 MILLION per occurrence; (d) Excess Liability Insurance with limits not less than US $5 MILLION; and (e) Aviation Liability Insurance of US $10 MILLION per occurrence. DBT shall, at its own expense, maintain with a reputable insurer (and provide written certificate(s) of insurance to Customer if and when requested) for a period of one (1) year after the fulfillment of the SOW under the Agreement. IN CONNECTION WITH ANY INDEMNITY BY DBT HEREUNDER, DBT'S ENTIRE LIABILITY SHALL BE LIMITED ONLY UP TO THE AMOUNTS OF INSURANCE COVERAGE REQUIRED IN CONNECTION WITH THE CLAIM MADE; AND THEREFORE, IN NO EVENT SHALL DBT BE LIABLE FOR ANY AMOUNTS BEYOND THE LIMITATIONS OF INSURANCE COVERAGE RECITED HEREIN FOR ANY CLAIMS MADE UNDER DBT'S INDEMNIFICATION OF CUSTOMER UNDER SECTION 6.5. FORCE MAJEURE 7.1 Neither party shall be deemed to have breached the Agreement by reason of delay or failure in performance resulting from causes beyond the control, and without the fault or negligence, of the party. Such causes include, but may not be limited to, an act of God, an act of war or public enemy, riot, epidemic, fire, flood, quarantine, embargo, epidemic, unusually severe weather or other disaster, or compliance with laws, governmental acts or regulations, in any case; not in effect as of the date of the Agreement, or other causes similar to the foregoing beyond the reasonable control of the party so affected. The party seeking to avail Itself of any of the foregoing excuses must promptly notify the other party of the reasons for the failure or delay in connection with the performance hereunder and shall exert its best efforts to avoid further failure or delay. However, the Agreement shall terminate, as provided under Section 4, if such delay or failure persists for one -hundred twenty (120) consecutive days and there is no foreseeable remedy or cure available. 8. ASSIGNMENT 8.1 Customer shall not be permitted to assign, In whole or in part, the Agreement or any rights or obligations hereunder except with the written authorization of DBT, which authorization shall not be unreasonably withheld. In the event of any permitted assignment or transfer of the Agreement or the obligations under the Agreement, the parties agree that such obligations shall be binding upon the assigning or transferring party's executors, administrators and legal representatives, and the rights of assignor or transferor shall inure to the benefit of assignee or transferee. Any attempted transfer, assignment, sale or conveyance, or delegation in violation of this Section 8 shall be null and void. 9. CONFIDENTIAL AND/OR PROPRIETARY INFORMATION 9.1 During the Term of the Agreement, each party may be exposed either in writing, orally or through observation to the other party's confidential and/or proprietary information ("Information"). Information includes, but is not limited to, product specifications, drawings, design plans, product blueprints, ideas, Inventions, methods, processes, chemical formulations, chemical compounds, mechanical/electrical specifications, current and future product plans, system architectures, product strategies, software (object, source or microcode), scientific or technical data, prototypes, demonstration packages, documents, marketing strategy, customer lists, equipment, personnel information, business strategies, financial information, instruction manuals, the Agreement and any other business and/or technical information related to the atmospheric and weather technology fields, or any Information marked with a disclosing party's confidential or similar type legend. If the Information is orally or visually disclosed, then such Information shall be reduced to a summary writing by the disclosing party within thirty (30) days of such disclosure, marked as "confidential" and delivered to the receiving party. 9.2 The receiving party shall use the Information only for the purposes of the Agreement and for no other purpose whatsoever. The receiving party shall not disclose, disseminate or distribute the Information to any third party. However, DBT shall be permitted to disclose Information to agents, employees, subcontractors and consultants, who have a definable need to know, and who are under written obligations commensurate with the terms and conditions recited herein. The receiving party shall protectthe Information by using the same degree of care, but no less than a reasonable degree of care, itwould to protect its own information of a like nature. Information shall remain confidential for a period of two (2) years following termination of the Agreement; except that any Information which is designated as a trade secret shall remain confidential until one of the events recited in Section 9.3 occurs. 2655 Crescent Drive I Lafayette, CO 80026 1 844-3GETDBT I info@OBTTranServ.com I www,DBTTranServ.com 9.3 The receiving party shall not be obligated to maintain the confidentiality of the Information if such Information: a) is or becomes a matter of public knowledge through no fault of the receiving party; b) Is disclosed as required by law; provided that, the receiving party promptly notifies the disclosing party of such request to disclose so that disclosing party has the opportunity to seek a protective or similar order to prevent such disclosure of Information; c) is authorized, in writing, by the disclosing party for release; d) was rightfully in the receiving party's possession before receipt from disclosing party; or e) is rightfully received by the receiving party from a third party without a duty of confidentiality. 9.4 No license under any trademark, patent, copyright or other intellectual property right is granted, either expressed or implied, by the disclosing of such Information by the disclosing party to the receiving party. 10. DISPUTES/ARBITRATION/GOVERNING LAW/OTHER 10.1 The parties shall first try to resolve any dispute relating to or arising from the Agreement through good faith negotiations and agreement by the parties. If the parties are unable to resolve the dispute through negotiation and still seek resolution, the dispute may be submitted to, and settled by binding arbitration, by a single arbitrator chosen by the American Arbitration Association in accordance with the Commercial Rules of the American Arbitration Association. The prevailing party shall be entitled to reasonable and documented attorney's fees and administrative fees in the event an action is brought. Notwithstanding the foregoing, the arbitrator shall award any damages subject to the limitations on liability and indemnification recited herein. Any court having jurisdiction over the matter may enter judgment on the award of the arbitrator. Service of a petition to confirm the arbitration award may be made by First Class mail or by commercial express mail, to the attorney for the party or, if unrepresented, to the party at the last known business address. 10.2 With regard to the subject matter recited herein, the Agreement (including addenda or amendments added hereto) comprises the entire understanding of the parties hereto and as such supersedes any oral or written agreement. Any inconsistency in the Agreement shall be resolved by giving precedence in the following order: a) The Order and Pricing Schedule b) The SOW C) This Attachment 1 d) Any addenda added hereto 10.3 This Agreement shall not be modified or amended except by written amendment executed by both parties. All requirements for notices hereunder must be in writing. The parties further acknowledge that facsimile signatures or signatures in PDF are fully binding and constitute a legal method of executing the Agreement. 10.4 Sections 4, 5, 6, 7, 9 and 10 shall survive termination of the Agreement. 10.5 If any of the provisions of the Agreement are declared to be invalid, such provisions shall be severed from the Agreement and the other provisions hereof shall remain in full force and effect. The rights and remedies of the parties to the Agreement are cumulative and not alternative. 10.6 This Agreement may be executed in one or more counterparts, each of which shall be deemed to be a duplicate original, but all of which, taken together, shall be deemed to constitute a single instrument. 10.7 This Agreement is made under and shall be construed according to the laws of the State of Colorado,, notwithstanding the applicability of conflicts of laws principles. 10.8 The parties shall adhere to all applicable U.S. Export Administration Laws and Regulations and shall not export or re-export any technical data or materials received under the Agreement or the direct product of such technical data or materials to any proscribed country or person listed In the U.S. Export Administration Regulations unless properly authorized by the U.S. Government. 2655 Crescent Drive I Lafayette, CO 80026 1 844-3GETDBT I info@DBTTranServ.com I www.DBTTranServ.com mow: TRANSPORTATION SERVICES 2655 Crescent Drive I Lafayette, CO 80026 1 844-3GEt'DBT I info@DBTTranServ.com I www.DBTTranServ.com of or, piuvwrau fly t exas tuvcs uommissen VA9W.ethws,s1atetx.u� TATE '" E- CIF, ifPOPoA00 Vel lost V1.0.3337 _)1"ARY ID X114 0 18 306 &a1 t pt71i1 RICN EXPIREfP111127, 2021 CERTIFICATE OF INTERESTED PARTIES FORM 1295 lot 1 Completo Nws 1- 4 cold 6 it Ihore am Interested Parties, OFFICE USE ONLY Com pled Nus. 1, 2, 3. 5, and 6 If Ihefe are no interested parties. CERTIFICATION OF FILING Certificate Number; 2017-262764 1 Name of business entity filing tariff, and the city, slate and country of the business entity's place of business. DBT Transportation Services Cypress, TX Uniled Stales Date Filed: 09/19/2017 2 Name of governmental entity or stale agency that is a party to the contract for which the form is being filed. Calhoun County Dale Acknowledged: 3 Provide the identification number used by the governmental entity or stale agency to track or identify the contract and provide a description of the services, goods, or other property to be provider) under the contract US00022,02 AWOS Maintenance & NADIN 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling intermediary 5 Chock only if (here is NO Interested Party, O X 6 AFFIDAVIT I swoaf, of afflnn, under papally of puryury, thin the above dlsclosule is We and conncl. r�.t,�,i.�'i SCG✓ G '9• _�n�. � — 7 ftnalure D dull orize-d alleiit of cormacting basOesS mily AFFIX NOTARY STAMP I SEAL ABOVE Sworn to and subsculled before mo by the BaldL'1Ll �� �'}jJ ;, (-� , INS the (lily of ` '_/ �.I•_y 20 � to cerfty which, wilness my hand and seal of o cif �,of ,YfzCAli, f` �411'YVL 1--1 z r -r r s�l�t'✓)L'�'-- � rl �� ('Y (wi( I Signature, of offar adnn lismnng 0a111 Primed rare of ofhc r adnunlslarigg-oiW1—. 7Ne.oLnlliceLadatu rsteu 1t f ath koHllNI.FC ;PENCE of or, piuvwrau fly t exas tuvcs uommissen VA9W.ethws,s1atetx.u� TATE '" E- CIF, ifPOPoA00 Vel lost V1.0.3337 _)1"ARY ID X114 0 18 306 &a1 t pt71i1 RICN EXPIREfP111127, 2021 CERTIFICATE OF INTERESTED PARTIES FORM 1295 toil Complete Nos. 1- 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2017-262764 Date Filed: 09/19/2017 Date Acknowledged: 10/19/2017 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. DBT Transportation Services Cypress, TX United States 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. US0002202 AWOS Maintenance & NADIN 4 Name of Interested Party Cit .State, Country (Place of business)(check Nature of interest applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. X 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said , this the day of , 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.3337 I Calhoun County Commissioners' Court— October 12, 2017 16. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 15) On FY 18-19 Interlocal Agreement between Calhoun County and Lubbock County, Texas acting through the Regional Public Defender for Capital Cases and authorize all appropriate signatures. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Clyde Syma, Commissioner Pet 3 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 14 of 28 CHIEF PUBLIC DEFENDER Edward Ray Keith Jr. Deputy Public Defender Keri Mallon Chief Operating Officer Amy Sharb Office Administrator Elaine Nauert Assistant Public Defender Susan E. Anderson Frank Blazek William P.H. Boyles Robert Cowie James Drummond Mark Hendrickson Anna Maria Jimenez Brian D. Lacour Anthony C. Odiorne Maxwell C. Peck IB Dennis R. Reeves Gary Taylor Thomas J. "Jay" Wooten John E. Wright Senior Investigator Rudy O'Brien Investigator Claudia Bretz Mike Johnson Isabel De La Rosa Abigail Scott Andra Whittingslow Senior Mitigator Ricardo Jimenez Mitigator Rachael Etheridge Daniella Garza Robert Graves Roland Hernandez Sarah Molzow Jordan Parnell Patricia Rist Marina Rodriguez Seth Starkey Julie Williams Jamie Zapata Legal Assistant Corrie Brake Berenice De Leon Sherri Griffith Amber Owen Evangelina Sanchez REGIONAL PUBLIC DEFENDER FOR CAPITAL CASES P. O. Box 2097 Lubbock, Texas 79408 Main Phone: (806) 775-1520 Fax: (806) 775-7954 August 21, 2017 Dear Judge, Please find the enclosed Inter Local Agreement for FYI 8-19. It would be greatly appreciated if you would put this on your next Commissioners Cout Agenda for consideration. Once is has been approved and signed, please forward a signed original to us at the address above. If you have any questions, please feel free to call our office. 4h`1 `�Amy Sha Chief Operating Officer Amarillo Clute Burnet San Antonio Lubbock Midland Terrell Wichita Falls 806)349-4848 (979)266-7613 (512)756-4621 (210)886-8789 (806)775-1522 (432)688-4366 (972)551-0100 (940)264-6169 INTERLOCAL AGREEMENT This Interlocal Agreement (the "Agreement") is made by and between LUBBOCK COUNTY, TEXAS ("LUBBOCK COUNTY"), a political subdivision of the State of Texas, acting through the Regional Public Defender for Capital Cases (the "PD"), and CALHOUN COUNTY, TEXAS ("PARTICIPANT"), a political subdivision of the State of Texas, (also, individually, a "Party" or, collectively, the "Parties"). This Agreement is made pursuant to the Fair Defense Act, Texas Code of Criminal Procedure 26.044(b), and Texas Government Code Chapter 791. RECITALS WHEREAS, each Party finds: 1) that the subject of this Agreement is necessary for the benefit of the public; and 2) that it has the legal authority to perform and to provide the government function or service which is the subject matter of this Agreement; and, WHEREAS, the performance of this Agreement by LUBBOCK COUNTY and PARTICIPANT will be in the common interest of the Parties; NOW, THEREFORE, the Parties agree as follows: ARTICLE I PROGRAM 1.01 Program Purpose and Term. The Regional Public Defender for Capital Cases (the "PD"), funded proportionately by the Texas Indigent Defense Commission Multi -Year Discretionary Grant Program Funds (the "TIDC"), will provide court-appointed counsel for individuals charged with the offense of capital murder (death -eligible) in the participating counties and who cannot afford to hire their own attorney. Inmates in units of the Texas Department of Criminal Justice within the region who are charged with capital murder will continue to be represented by the State Counsel on Offenders, or by private counsel in the case of a conflict. Capital murder cases filed against inmates in units of the Texas Department of Criminal Justice shall not be counted in the average number of capital murder cases filed in a county. Participant recognizes that counties from other Administrative Regions are also participating in the program. Each county's participatory costs are based upon funding by the Texas Indigent Defense Commission that is expected to total $3,000,000 in FY 18 and $3,000,000 in FY19. Of this total, $1,550,000 in FY18 and $1,550,000 in FY19 consist of General Revenue appropriated by the 85th Texas Legislature. The remaining funds of $1,450,000 in FY18 and $1,450,000 in FY19 consist of Sustainability Grant Funds from the Texas Indigent Defense Commission ("TIDC"). It is possible that the TIDC may consider additional funding mechanisms during Fiscal Years 2018 and 2019; however, the TIDC funding is not anticipated to be less than detailed above. The remaining portion of the program's budget is cost-sharing commensurate with all eligible counties' applicable inclusion in the program. In order to provide sustainable funding for the PD and a fund balance for emergency situations, participating counties will contribute (with a minimum contribution of $1,000 per county) per the detailed county allocation schedule marked as Attachment 1 and incorporated herein for all purposes. Based upon this cost-sharing approach, participating counties shall provide the remaining operating costs based upon a formula taking into account the population of the county as a percentage of the whole of the 177 participating counties (50%) and the average number of capital murder cases filed between 2003 and 2013 as a percentage of the 177 participating counties (50%). The Interlocal Agreements shall become effective October 1, 2017, and continue through September 30, 2018. Thereafter, the agreements shall renew automatically each October 1st for a successive one-year term through September 30, 2019, unless terminated under this agreement. 1.02 Judges Authorized to Appoint PD. The District Courts in the 1st, 2nd 3m 4th 5th 6th 7th 8" and 91' Administrative Judicial Regions in eligible counties may participate in the Program. The Program allows the Honorable Judge(s) of the Judicial District having jurisdiction within PARTICIPANT's geographic boundaries to appoint the PD for the trial defense of death -eligible capital murder cases. In the event of a conflict of interest among defendants or a legal liability for the PD to accept appointment, the trial court shall appoint an attorney or attorneys other than the PD at the PARTICIPANT's expense. 1.03 Duties and Responsibilities of the PD. The PD will represent defendants at the trial or re -trial phase only. All decisions pertaining to the presentation of the case will be at the sole discretion of the PD. The PD will at all times be guided by and comply with his or her duties as a licensed attorney in the State of Texas and the Texas Disciplinary Rules of Professional Conduct in making these determinations. 1.04 Program Analysis. At least quarterly throughout the period of the grant and at the end of the grant year, the PD will prepare an analysis of the Program, as well as an estimated cost for PARTICIPANT's continued participation after all grant funds are expended. The analysis will consist of a fiscal analysis and an analysis of the effectiveness of the PD in meeting pre -established goals and objectives. The PD will provide copies of the analysis to PARTICIPANT's Commissioners Court and to the Honorable Judges identified of the Participating Administrative Judicial Regions. PARTICIPANT shall have three months from the date the cost analysis is provided to the Commissioners Courts to consider the analysis and determine whether participant will continue to participate in the Program. If PARTICIPANT requests to continue participating in the Program, a new interlocal agreement as to funding and the funding cycle will be necessary. 1.05 Data for the Analysis. As consideration for its participation in the Program, PARTICIPANT agrees to provide the PD information as needed to conduct the analysis, including the current payment schedule for court-appointed counsel on capital murder cases and the previous five fiscal years' data on the amount PARTICIPANT paid for appointed counsel on capital murder cases, if available. 1.06 Additional Experts. PARTICIPANT will continue to incur the expense of additional experts as approved by the local court. 1.07 Fact Investigators and Mitigation Specialists. The PD will provide a fact investigator and mitigation specialist to cases assigned to the PD office. 1.08 No other Costs Incurred. Neither the TIDC nor the PD will assume any additional costs associated with representation of indigent defendants. Costs of interpreters or any other collateral cost must be absorbed by PARTICIPANT. ARTICLE H OTHER TERMS AND CONDITIONS 2.01 Notice and Addresses. Unless otherwise specifically provided herein, all notices, reports, and invoices required under this Agreement shall be given in writing by certified or registered mail, addressed to the proper Party, at the following address: If to LUBBOCK COUNTY: Honorable Tom V. Head County Judge Lubbock County PO Box 10536 Lubbock, Texas 79408 And: Edward Ray Keith Jr. Chief Public Defender Regional Public Defender for Capital Cases P O Box 2097 Lubbock, Texas 79408 If to PARTICIPANT: Honorable Michael Pfeifer County Judge Calhoun County 211 S. Ann St, 3rd Floor Port Lavaca, Texas 77979 2.02 No Partnership. Nothing contained in this Agreement is intended to create a partnership or joint venture between the Parties, and any implication to the contrary is hereby expressly disavowed. This Agreement does not create a joint enterprise, nor does it appoint any Party as an agent of the other Party, for any purpose whatsoever. 2.03 Waiver. The failure of any Party to insist upon the performance of any terms or provision of this Agreement or to exercise any right granted hereunder shall not constitute a waiver of that Party's right to insist upon appropriate performance or to assert any such right on any future occasion. 2.04 Benefit of the Parties. The terms and conditions of this Agreement are solely for the benefit of the Parties and are not intended to create any rights, contractual or otherwise, for any other person or entity. 2.05 Force Maieure. If the performance of any obligation under this Agreement is delayed by something reasonably beyond the control of the Party obligated to perform ("Force Majeure"), that Party shall be excused from performing the obligation during that period, so that the time period applicable to the performance shall be extended for a period of time equal to the period that Party was delayed due to the event of Force Majeure. 2.06 Severability. In case any one or more of the provisions contained in this Agreement shall for any reason be held to be invalid, illegal, or unenforceable in any respect, such invalidity, illegality, or unenforceability shall not affect any other provision and this Agreement shall be construed as if the invalid, illegal, or unenforceable provision had never been contained herein. 2.07 Prior Aereements Superseded. This Agreement constitutes the only agreement of the Parties and supersedes any prior understanding or written or oral agreements between the Parties respecting the within subject matter. 2.08 Amendments. In order to be binding, an amendment to this Agreement must be in writing, dated subsequent to the date of this Agreement, and executed by the Parties. 2.09 Withdrawal by Party. (a) Voluntary Withdrawal. Voluntary withdrawal by PARTICIPANT from the Agreement shall occur upon the affirmative decision by PARTICIPANT's Commissioners Court to withdraw from the Agreement and the withdrawing PARTICIPANT giving at least one hundred and eighty (180) calendar days' notice in writing to LUBBOCK COUNTY and the PD. The effective date of voluntary withdrawal shall be one hundred and eighty (I 80) calendar days after the withdrawing Participant gives written notice to LUBBOCK COUNTY. Involuntary Withdrawal. PARTICIPANT shall be deemed to have involuntarily withdrawn from the Agreement upon the failure by the PARTICIPANT to pay any cost-sharing payment by the due date, as provided in a notice to the PARTICIPANT. PARTICIPANT shall be given thirty (30) days written notice of non-payment by LUBBOCK COUNTY and shall not be deemed to be in default until the expiration of thirty (30) days after receipt of the written notice. (c) In the event that PARTICIPANT withdraws under (a) or (b) and the PD is representing an individual or individuals after having been appointed by a court in PARTICIPANT'S county, beginning on the effective date of the withdrawal, PARTICIPANT shall be responsible for timely payment of $150.00 per hour for the first chair attorney, $125.00 per hour for the second chair attorney, $60.00 per hour for the mitigation specialist and $50.00 per hour for the investigator. Additionally, PARTICIPANT shall also timely pay upon receipt and documentation all investigative costs incurred by the PD including but not limited to travel, lodging, meals and records collection. SIGNED AND EXECUTED this COUNTY OF LUBBOCK Honorable Thomas V. Head County Judge ATTEST: Honorable Kelly Pinion Lubbock County Clerk APPROVED AS TO CONTENT: Edward Ray Keith Jr. Chief Public Defender Regional Public Defender for Capital Cases day of 201 COUNTY OF CALHOUN till( fjv'i6l Honorable Michael Pfeifer County Judge ATTEST: Calhoun County Clerk APPROVED AS TO CONTENT: REVIEWED FOR FORM: REVIEWED FOR FORM: R. Neal Burt Civil Division Chief Criminal District Attorney's Office Lubbock County %Total Avg cases FY18 Cost per FY19 Cost per County 2010 Pop Pop per yr %Total Cases County County Anderson 58,458 0.66% 0.9 0.69% $31,428.00 $31,428.00 Andrews 14,786 0.17% 0.4 0.31% $11,243.00 $11,243.00 Angelina 86,771 0.97% 1.3 0.99% $46,580.00 $46,580.00 Aransas 23,158 0.26% 0.2 0.15% $9,671.00 $9,671.00 Archer 9,054 0.10% 0.0 0.00% $2,348.00 $2,348.00 Armstrong 1,901 0.02% 0 0.00% $1,000.00 $1,000.00 Atascosa 44,911 0.50% 0.6 0.46% $22,760.00 $22,760.00 Austin 28,417 0.32% 0.9 0.69% $24,037.00 $24,037.00 Bailey 7,165 0.08% 0.6 0.46% $12,970.00 $12,970.00 Bandera 20,485 0.23% 0.1 0.08% $7,165.00 $7,165.00 Bastrop 74,171 0.83% 0.5 0.38% $28,138.00 $28,138.00 Baylor 3,726 0.04% 0 0.00% $1,000.00 $1,000.00 Bee 31,861 0.36% 1.6 1.22% $37,153.00 $37,153.00 Bell 310,235 3.48% 6 4.58% $191,578.00 $191,578.00 Blanco 10,497 0.12% 0.2 0.15% $6,426.00 $6,426.00 Borden 641 0.01% 0 0.00% $1,000.00 $1,000.00 Bosque 18,212 0.20% 0.3 0.23% $10,279.00 $10,279.00 Bowie 92,565 1.04% 2.9 2.21% $75,048.00 $75,048.00 Brazoria 313,166 3.52% 1.2 0.92% $98,105.00 $98,105.00 Brazos 194,851 2.19% 2.7 2.06% $96,652.00 $96,652.00 Brewster 9,232 0.10% 0 0.00% $2,395.00 $2,395.00 Briscoe 1,637 0.02% 0 0.00% $1,000.00 $1,000.00 Brooks 7,223 0.08% 0 0.00% $1,871.00 $1,871.00 Brown 38,106 0.43% 1.9 1.45% $45,069.00 $45,069.00 Burleson 17,187 0.19% 0.5 0.38% $13,717.00 $13,717.00 Burnet 42,750 0.48% 0.1 0.08% $12,940.00 $12,940.00 Caldwell 38,066 0.43% 0.1 0.08% $11,725.00 $11,725.00 Calhoun 21,381 0.24% 0.3 0.23% $11,101.00 $11,101.00 Callahan 13,544 0.15% 0.1 0.08% $5,352.00 $5,352.00 Camp 12,401 0.14% 0 0.00% $3,216.00 $3,216.00 Carson 6,182 0.07% 0 0.00% $1,603.00 $1,603.00 Cass 30,464 0.34% 0.5 0.38% $17,161.00 $17,161.00 Castro 8,062 0.09% 0 0.00% $2,091.00 $2,091.00 Chambers 35,096 0.39% 0.2 0.15% $12,807.00 $12,807.00 Cherokee 50,845 0.57% 0.4 0.31% $20,414.00 $20,414.00 Childress 7,041 0.08% 0 0.00% $1,826.00 $1,826.00 Clay 10,752 0.12% 0.3 0.23% $8,344.00 $8,344.00 Cochran 3,127 0.04% 0 0.00% $1,000.00 $1,000.00 Coke 3,320 0.04% 0 0.00% $1,000.00 $1,000.00 Coleman 8,895 0.10% 0.1 0.08% $4,159.00 $4,159.00 Collingsworth 3,057 0.03% 0 0.00% $1,000.00 $1,000.00 Colorado 20,874 0.23% 0.1 0.08% $7,266.00 $7,266.00 Comet 108,472 1.22% 0.4 0.31% $34,879.00 $34,879.00 Comanche 13,974 0.16% 0.2 0.15% $7,307.00 $7,307.00 Concho 4,087 0.05% 0 0.00% $1,060.00 $1,060.00 Cooke 38,437 0.43% 0.9 0.69% $26,338.00 $26,338.00 INTERLOCAL AGREEMENT This hrterlocal Agreement (the "Agreement") is made by and between LUBBOCK COUNTY, TEXAS ("LUBBOCK COUNTY"), a political subdivision of the State of Texas, acting through the Regional Public Defender for Capital Cases (the "PD"), and CALHOUN COUNTY, TEXAS ("PARTICIPANT"), a political subdivision of the State of Texas, (also, individually, a "Party" or, collectively, the "Parties"). This Agreement is made pursuant to the Fair Defense Act, Texas Code of Criminal Procedure 26.044(b), and Texas Government Code Chapter 791. RECITALS WHEREAS, each Party finds: 1) that the subject of this Agreement is necessary for the benefit of the public; and 2) that it has the legal authority to perform and to provide the government function or service which is the subject matter of this Agreement; and, WHEREAS, the performance of this Agreement by LUBBOCK COUNTY and PARTICIPANT will be in the common interest of the Parties; NOW, THEREFORE, the Parties agree as follows: ARTICLE I PROGRAM 1.01 Program Purpose and Term. The Regional Public Defender for Capital Cases (the "PD"), funded proportionately by the Texas Indigent Defense Commission Multi -Year Discretionary Grant Program Funds (the "TIDC"), will provide court-appointed counsel for individuals charged with the offense of capital murder (death -eligible) in the participating counties and who cannot afford to hire their own attorney. Inmates in units of the Texas Department of Criminal Justice within the region who are charged with capital murder will continue to be represented by the State Counsel on Offenders, or by private counsel in the case of a conflict. Capital murder cases filed against inmates in units of the Texas Department of Criminal Justice shall not be counted in the average number of capital murder cases filed in a county. Participant recognizes that counties from other Administrative Regions are also participating in the program. Each county's participatory costs are based upon funding by the Texas Indigent Defense Commission that is expected to total $3,000,000 in FY 18 and $3,000,000 in FY19. Of this total, $1,550,000 in FY18 and $1,550,000 in FY19 consist of General Revenue appropriated by the 85`x' Texas Legislature. The remaining funds of $1,450,000 in FY18 and $1,450,000 in FY19 consist of Sustainability Grant Funds from the Texas Indigent Defense Commission ("TIDC"). It is possible that the TIDC may consider additional funding mechanisms during Fiscal Years 2018 and 2019; however, the TIDC funding is not anticipated to be less than detailed above. The remaining portion of the program's budget is cost-sharing commensurate with all eligible counties' applicable inclusion in the program. In order to provide sustainable funding for the PD and a fund balance for emergency situations, participating counties will contribute (with a minimum contribution of $1,000 per county) per the detailed county allocation schedule marked as Attachment 1 and incorporated herein for all purposes. Based upon this cost-sharing approach, participating counties shall provide the remaining operating costs based upon a formula taking into account the population of the county as a percentage of the whole of the 177 participating counties (50%) and the average number of capital murder cases filed between 2003 and 2013 as a percentage of the 177 participating counties (50%). The Interlocal Agreements shall become effective October 1, 2017, and continue through September 30, 2018. Thereafter, the agreements shall renew automatically each October I" for a successive one-year term through September 30, 2019, unless terminated under this agreement. 1.02 Judges Authorized to Appoint PD. The District Courts in the Is` 2na 3m 4th, Stn 6th 7tn 8th and 9`h Administrative Judicial Regions in eligible counties may participate in the Program. The Program allows the Honorable Judge(s) of the Judicial District having jurisdiction within PARTICIPANT's geographic boundaries to appoint the PD for the trial defense of death -eligible capital murder cases. In the event of a conflict of interest among defendants or a legal liability for the PD to accept appointment, the trial court shall appoint an attorney or attorneys other than the PD at the PARTICIPANT's expense. 1.03 Duties and Responsibilities of the PD. The PD will represent defendants at the trial or re -trial phase only. All decisions pertaining to the presentation of the case will be at the sole discretion of the PD. The PD will at all times be guided by and comply with his or her duties as a licensed attorney in the State of Texas and the Texas Disciplinary Rules of Professional Conduct in making these determinations. 1.04 Program Analysis. At least quarterly throughout the period of the grant and at the end of the grant year, the PD will prepare an analysis of the Program, as well as an estimated cost for PARTICIPANT's continued participation after all grant funds are expended. The analysis will consist of a fiscal analysis and an analysis of the effectiveness of the PD in meeting pre -established goals and objectives. The PD will provide copies of the analysis to PARTICIPANT's Commissioners Court and to the Honorable Judges identified of the Participating Administrative Judicial Regions. PARTICIPANT shall have three months from the date the cost analysis is provided to the Commissioners Courts to consider the analysis and determine whether participant will continue to participate in the Program. If PARTICIPANT requests to continue participating in the Program, a new interlocal agreement as to funding and the funding cycle will be necessary. 1.05 Data for the Analysis. As consideration for its participation in the Program, PARTICIPANT agrees to provide the PD information as needed to conduct the analysis, including the current payment schedule for court-appointed counsel on capital murder cases and the previous five fiscal years' data on the amount PARTICIPANT paid for appointed counsel on capital murder cases, if available. 1.06 Additional Experts. PARTICIPANT will continue to incur the expense of additional experts as approved by the local court. 1.07 Fact Investigators and Mitigation Specialists. The PD will provide a fact investigator and mitigation specialist to cases assigned to the PD office. 1.08 No other Costs Incurred. Neither the TIDC nor the PD will assume any additional costs associated with representation of indigent defendants. Costs of interpreters or any other collateral cost must be absorbed by PARTICIPANT. ARTICLE II OTHER TERMS AND CONDITIONS 2.01 Notice and Addresses. Unless otherwise specifically provided herein, all notices, reports, and invoices required under this Agreement shall be given in writing by certified or registered mail, addressed to the proper Party, at the following address: If to LUBBOCK COUNTY: Honorable Tom V. Head County Judge Lubbock County PO Box 10536 Lubbock, Texas 79408 And: Edward Ray Keith Jr. Chief Public Defender Regional Public Defender for Capital Cases P O Box 2097 Lubbock, Texas 79408 If to PARTICIPANT: Honorable Michael Pfeifer County Judge Calhoun County 211 S. Ann St, 3rd Floor Port Lavaca, Texas 77979 2.02 No Partnership. Nothing contained in this Agreement is intended to create a partnership or joint venture between the Parties, and any implication to the contrary is hereby expressly disavowed. This Agreement does not create a joint enterprise, nor does it appoint any Party as an agent of the other Party, for any purpose whatsoever. 2.03 Waiver. The failure of any Party to insist upon the performance of any terms or provision of this Agreement or to exercise any right granted hereunder shall not constitute a waiver of that Party's right to insist upon appropriate performance or to assert any such right on any future occasion. 2.04 Benefit of the Parties. The terms and conditions of this Agreement are solely for the benefit of the Parties and are not intended to create any rights, contractual or otherwise, for any other person or entity. 2.05 Force Majeure. If the performance of any obligation under this Agreement is delayed by something reasonably beyond the control of the Party obligated to perform ("Force Majeure"), that Party shall be excused from performing the obligation during that period, so that the time period applicable to the performance shall be extended for a period of time equal to the period that Party was delayed due to the event of Force Majeure. 2.06 Severability. In case any one or more of the provisions contained in this Agreement shall for any reason be held to be invalid, illegal, or unenforceable in any respect, such invalidity, illegality, or unenforceability shall not affect any other provision and this Agreement shall be construed as if the invalid, illegal, or unenforceable provision had never been contained herein. 2.07 Prior Aereements Superseded. This Agreement constitutes the only agreement of the Parties and supersedes any prior understanding or written or oral agreements between the Parties respecting the within subject matter. 2.08 Amendments. In order to be binding, an amendment to this Agreement must be in writing, dated subsequent to the date of this Agreement, and executed by the Parties. 2.09 Withdrawal by Party. (a) Voluntary Withdrawal. Voluntary withdrawal by PARTICIPANT from the Agreement shall occur upon the affirmative decision by PARTICIPANT's Commissioners Court to withdraw from the Agreement and the withdrawing PARTICIPANT giving at least one hundred and eighty (180) calendar days' notice in writing to LUBBOCK COUNTY and the PD. The effective date of voluntary withdrawal shall be one hundred and eighty (180) calendar days after the withdrawing Participant gives written notice to LUBBOCK COUNTY. bbl Involuntary Withdrawal. PARTICIPANT shall be deemed to have involuntarily withdrawn from the Agreement upon the failure by the PARTICIPANT to pay any cost-sharing payment by the due date, as provided in a notice to the PARTICIPANT. PARTICIPANT shall be given thirty (30) days written notice of non-payment by LUBBOCK COUNTY and shall not be deemed to be in default until the expiration of thirty (30) days after receipt of the written notice. (c) In the event that PARTICIPANT withdraws under (a) or (b) and the PD is representing an individual or individuals after having been appointed by a court in PARTICIPANT'S county, beginning on the effective date of the withdrawal, PARTICIPANT shall be responsible for timely payment of $150.00 per hour for the first chair attorney, $125.00 per hour for the second chair attorney, $60.00 per hour for the mitigation specialist and $50.00 per hour for the investigator. Additionally, PARTICIPANT shall also timely pay upon receipt and documentation all investigative costs incurred by the PD including but not limited to travel, lodging, meals and records collection. SIGNED AND EXECUTED this COUNTY OF LUBBOCK Honorable Thomas V. Head County Judge ATTEST: Honorable Kelly Pinion Lubbock County Clerk APPROVED AS TO CONTENT: Edward Ray Keith Jr. Chief Public Defender Regional Public Defender for Capital Cases day of 201 COUNTY OF CALHOUN ' � F . Honorable Michael Pfeffer County Judge Calhoun County Clerk APPROVED AS TO CONTENT: REVIEWED FOR FORM: REVIEWED FOR FORM: R. Neal Burt Civil Division Chief Criminal District Attorney's Office Lubbock County %Total Avg cases FYI Cost per FY19 Cost per County 2010 Pop Pop per yr %Total Cases County County Anderson 58,458 0.66% 0.9 0.69% $31,428.00 $31,428.00 Andrews 14,786 0.17% 0.4 0.31% $11,243.00 $11,243.00 Angelina 86,771 0.97% 1.3 0.99% $46,580.00 $46,580.00 Aransas 23,158 0.26% 0.2 0.15% $9,671.00 $9,671.00 Archer 9,054 0.10% 0.0 0.00% $2,348.00 $2,348.00 Armstrong 1,901 0.02% 0 0.00% $1,000.00 $1,000.00 Atascosa 44,911 0.50% 0.6 0.46% $22,760.00 $22,760.00 Austin 28,417 0.32% 0.9 0.69% $24,037.00 $24,037.00 Bailey 7,165 0.08% 0.6 0.46% $12,970.00 $12,970.00 Bandera 20,485 0.23% 0.1 0.08% $7,165.00 $7,165.00 Bastrop 74,171 0.83% 0.5 0.38% $28,138.00 $28,138.00 Baylor 3,726 0.04% 0 0.00% $1,000.00 $1,000.00 Bee 31,861 0.36% 1.6 1.22% $37,153.00 $37,153.00 Bell 310,235 3.48% 6 4.58% $191,578.00 $191,578.00 Blanco 10,497 0.12% 0.2 0.15% $6,426.00 $6,426.00 Borden 641 0.01% 0 0.00% $1,000.00 $1,000.00 Bosque 18,212 0.20% 0.3 0.23% $10,279.00 $10,279.00 Bowie 92,565 1.04% 2.9 2.21% $75,048.00 $75,048.00 Brazoria 313,166 3.52% 1.2 0.92% $98,105.00 $98,105.00 Brazos 194,851 2.19% 2.7 2.06% $96,652.00 $96,652.00 Brewster 9,232 0.10% 0 0.00% $2,395.00 $2,395.00 Briscoe 1,637 0.02% 0 0.00% $1,000.00 $1,000.00 Brooks 7,223 0.08% 0 0.00% $1,871.00 $1,871.00 Brown 38,106 0.43% 1.9 1.45% $45,069.00 $45,069.00 Burleson 17,187 0.19% 0.5 0.38% $13,717.00 $13,717.00 Burnet 42,750 0.48% 0.1 0.08% $12,940.00 $12,940.00 Caldwell 38,066 0.43% 0.1 0.08% $11,725.00 $11,725.00 Calhoun 21,381 0.24% 0.3 0.23% $11,101.00 $11,101.00 Callahan 13,544 0.15% 0.1 0.08% $5,352.00 $5,352.00 Camp 12,401 0.14% 0 0.00% $3,216.00 $3,216.00 Carson 6,182 0.07% 0 0.00% $1,603.00 $1,603.00 Cass 30,464 0.34% 0.5 0.38% $17,161.00 $17,161.00 Castro 8,062 0.09% 0 0.00% $2,091.00 $2,091.00 Chambers 35,096 0.39% 0.2 0.15% $12,807.00 $12,807.00 Cherokee 50,845 0.57% 0.4 0.31% $20,414.00 $20,414.00 Childress 7,041 0.08% 0 0.00%, $1,826.00 $1,826.00 Clay 10,752 0.12% 0.3 0.23% $8,344.00 $8,344.00 Cochran 3,127 0.04% 0 0.00% $1,000.00 $1,000.00 Coke 3,320 0.04% 0 0.00% $1,000.00 $1,000.00 Coleman 8,895 0.10% 0.1 0.08% $4,159.00 $4,159.00 Collingsworth 3,057 0.03% 0 0.00% $1,000.00 $1,000.00 Colorado 20,874 0.23% 0.1 0.08% $7,266.00 $7,266.00 Comal 108,472 1.22% 0.4 0.31% $34,879.00 $34,879.00 Comanche 13,974 0.16% 0.2 0.15% $7,307.00 $7,307.00 Concho 4,087 0.05% 0 0.00% $1,060.00 $1,060.00 Cooke 38,437 0.43% 0.9 0.69% $26,338.00 $26,338.00 Calhoun County Commissioners' Court — October 12, 2017 17. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 16) On insurance proceeds from VFIS for damages associated with Hurricane Harvey to a 2000 Chevy Ambulance in the Port O'Connor VFD in the amount of $112.50 ($1,112.50 minus a $1,000.00 deductible) and $3,035.71. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Kenneth Finster, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 15 of 28 Susan Riley From: candice.villarrealOcalhouncotx.org -- Candice Villarreal<candice.villarreal@calhouncotx.org> Sent: Friday, October 06, 2017 8:44 AM To: susan.riley@calhouncotx.org; Michael Pfeifer; David Hall; vern.lyssy@calhouncotx.org; Clyde Syma; Kenneth Finster Cc: April Townsend; cindy.mueller@calhouncotx.org Subject: Agenda Item - Insurance Proceeds Attachments: VFIS Vehicle Damage Claims - Harvey.pdf Susan, Please add the following agenda item for the next Commissioners Court. • Consider and take necessary action on insurance proceeds from VFIS for damages associated with Hurricane Harvey to a 2000 Chevy Ambulance in the Port O'Connor VFD and a 1995 Ford Pumper in the Seadrift VFD in the amount of $112.50 ($1,112.50 minus a $1,000 deductible) and $3,035.71. Thank you, Candice Villarreal Calhoun County Auditors Office Phone: (361)553-4612 Fax: (361) 553-4614 candice. villarrealOcalhouncotx.org Glatfelter Claims Management, Inc. MOMFISO 183 teeter Heights Rood • P.O. Box 5126 > York, Pennsylnauia 17405.9792 QY wta tia..wo..ro (717) 741-0911 • (800) 233-1957 • Fax (717) 747-7051 - CA License 4 2D89880 9/25/2017 Calhoun Countym Attn: Ms. Candice Villareal 202 S Ann Street, Suite B Port Lavaca, TX 77979 RE: Insured: Calhoun County Policy Number: VFISCM1057256-09 Claim Number: TXCM217090362-01/02 Date of Loss: 08/28/2017 Description: Storm Damage Vehicle: 2000 Chevy VIN 5074 1995 Ford Pumper VIN 7228 Dear Ms. Villareal: Glatfelter Claims Management, Inc. is handling this matter on behalf of American Alternative Insurance Corporation. Enclosed herein you will find checks in the amount of $112.50 and $3,035.71. They represent the repair costs shown on the enclosed appraisals prepared by Forster and Associates, LLC. The $1000 deductible was applied to the $112.50 check. If vour repair facility cannot complete the work for the amount of this appraisal and/or additional damare is discovered and von wish to present a supplemental claim, you or your representative must contact Appraiser. Robert Forster. at 1-800-675-0441 prior to authorizing additional repairs or repair costs. If you are unable to reach the Appraiser, please contact me at the toll free number shown above. When your vehicle is taken to the shop for repair, please request that the shop help preserve your rights under the insurance policy by advising you immediately if they are unable to complete the repairs as quoted on the original appraisal. For your convenience, an extra copy of this letter is enclosed and may be given to your repairer. We are happy to have been of service. Please feel free to contact me if you have any questions. Sincerel . Steven Sipe Auto Specialist Extension: 7632 Email: claims@glatfelters.com c: WINSTAR INSURANCE GROUP LLC ROBERT FORSTER Estimate FORSTER FORSTER ASSOCIATES LLC Est #765, ID #5114772 ASSOCIATES LLC PO BOX 926 EAST LYME, CT 06333 �1 Business Phone: 1-800.675-0441 RFORSTERJR@ATLANTICBB.NET Owner: Calhoun County (Port O'conner VFD) / 101 6th St / Port O'Conner, TX / Business Phone: 361-220-112 Veh. Info: 2000 Chevy / Frazer 3500 Chevy License: 108-9320, State:TX, Miles In: 17936.0, VIN#: 1 GBKC34JOYF495074 Ins. Comp.: GLATFELTER CLAIMS Ins. Agent: Date Inspected 09/21/17 Claim Representative Steve Sipe / Phone: 1.800-233-1957 / claims@glalfeiters.com / Fax: 717-747-7051 Other Info: Claim Number: TXCM217090362-00001 / Loss Date: 8/28/2017 FROM VEHICLE FUEL TANK, DISPOSE OF FUEL, REFILL Repair DRAIN MIXED FUEL 0 $100.00 1 1.0 Body hrs, FROM GENERATOR FUEL TANK, DISPOSE OF FUEL, Repair DRAIN MIXED FUEL O $300.00 1 2.5 Body hrs. FROM VEHICLE FUEL TANK, DISPOSE OF FUEL, REFILL Repair DRAIN MIXED FUEL 0 $100.00 1 1.0 Body hrs, FROM GENERATOR FUEL TANK, DISPOSE OF FUEL, REFILL Replace VEHICLE FUEL FILTERl? $45.00 1 0.5 Body hrs. Replace GENERATOR FUELt7 $25.00 1 0.5 Body hrs. FILTER Repair PERFORM DIAGNOSTICS 1.0 Body hrs. ON FUEL SYSTEM AND ADVISE Repair MISC. SHOP SUPPLIES O $25.00 1 Repair OPERATIONAL TESTING, 1.0 Body hrs. ROAD TEST, TURN ON LIGHTS, CHECK FUNCTION OF VEHICLE EQUIPM Totals Other Parts $495.00 Body Labor 6.5 $95.00 $617.50 Nontaxable Amount $1,112.50 Grand Total $1,112.50 Net Total $1,112.50 Powered By 'sfsF Page 1 of 1 9/24/2017 5:55:54 PM Glatfelter Claims Management, Inc. P O Box 5126 York, PA 17405 (800)233-1957 WINSTAR INSURANCE GROUP LLC 3420 EXEC CENTER DRIVE STE 301 AUSTIN, TX 78731 PAYMENT IS BEING ISSUED FOR: 2000 CHEVY VIN 5074 LESS CHECK NUMBER: 0000466514 $1,000 DEDUCTIBLE CLAIM NUMBER; TXCM217090362-00001 PAYMENTAMOUNT: $*««*««.*.112.50' Payment on behalf of AAIC Any person who knowingly presents a false or fraudulent claim for the payment of a loss is guilty, of a crime and sublectto criminal prosecution and civil penalties. JINGRAM VFIS Please detach voucher and deposit check promptly. 4 ROBERT FORSTER Estimate FORSTER FORSTER ASSOCIATES LLC Est #766, ID #5114797 ASSOCIATES LLC PO BOX 926 EAST LYME, CT 06333 Business Phone: 1-800-675-0441 2 RFORSTERJR@ATLANTICBB.NET Owner: Calhoun County (Seadrift VFD) / 102 Dallas Ave / Seadrift, TX / Business Phone: 361-778-3370 Veh. Into: 1995 Ford F-800 Pumper Ford , License: 122-1972, State:TX, Miles In: 24137.0, VINN: 1 FDYF80E2SVA27228 Ins. Comp.: GLATFELTER CLAIMS Ins. Agent: Date Inspected 09/21/17 Claim Representative; Steve Slpe/Phone: 1-800-233-1957/claims@glatteftem.com/Fax: 717.747.7051 Other Into; Claim Number: TXCM217090362.00002 / Loss Date: 8/28/2017 Dc6oPi t1if.07=7t 77Palt# F. „PPt4e 41y. Iabokr:...,zPiwtn ha R&i PASSENGER DOOR WINDOW CRANK 0.1 BodY hrs. R&I PASSENGER DOOR LATCH HANDLE 0.5 Body hrs, R&i PASSENGER DOOR TRIM PANEL 0.4 Body hrs. Replace PASSENGER DOOR WINDOW GLASS 0 $24419 1 1.2 Body hrs. R&I BENCH SEAT BACK CUSHION 1.0 Body hrs. R&I BENCH SEAT CUSHION 1.0 Body his. Replace BENCH SEAT PAD $273.82 1 1.5 Body hrs. Replace BENCH SEAT COVER Q $403.98 1 1.2 Body hrs. Replace BENCH SEAT BACK PAD 0 $225.96 1 1.5 Body hts. Replace BENCH SEAT BACK COVER d $514.27 1 1.2 Body hrs. R&I BENCH SEAT BASE 1.0 Body hrs. R&I CAB FLOOR MAT, CLEAN AND SANITIZES $10.00 1 0.5 Body hrs. Repair CLEAN AND SANITIZE FLOOR, DRY STEEL Q $12.00 1 1.0 Body hrs. FLOOR OF CAB Repair PERFORM DIAGNOSTICS ON LIGHT/SIREN 0.5 Body hrs. CONTROLS AND ADVISE Repair PERFORM DIAGNOSTICS ON 0.5 Body his. COMMUNICATION EQUIPMENT AND ADVISE Repair PERFORM DIAGNOSTIC$ ON VEHICLE 1.0 Body hrs. SHORE POWER CHARGING SYSTEM AND ADVISE Replace HOG RING FASTENERS $12.00 1 Totals I (Dother Parts $1,696.21 Body Labor 14.1 $95.00 $1,339.50 Nontaxable Amount $3,035.71 Grand Total $3,035.71 Net Total $3,035.71 Powered By C94 ASF Page 1 of 1 9/24/2017 6:22:36 PM Any person who knowingly presents a false or fraudulent claim for the payment of a loss is guilty of a crime and subject to criminal prosecution and civil penalties. JINGRAM VFIS Please detach voucher and deposit check promptly. - Calhoun County Commissioners' Court — October 12, 2017 18. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 17) To change the date of the second meeting in November from Tuesday, November 211t to Monday, November 20th to meet the requirements for canvassing the votes of the Constitutional Amendment Election held in November, 2017. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Kenneth Finster, Commissioner Pct 4 SECONDER: Michael Pfeifer, County Judge AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 16 of 28 Monday Tuesday Wednesday Thursday Friday 30 31 1 2 3 4 AGENDA ITEMS DUE 6 7 8 9 10 11 '.. POST COMM HOLIDAY AGENDA COURT 13 14 15 16 17 18 AGENDA POST ITEMS DUE AGENDA NOON 20 121 22 23 24 25 COMM i IOLIDAY HOLIDAY COURT 27 �28 -_- --- ,_ 6 otes: 29 7 30 8 1 9 2 10 Em 5 12 19 26 3 11 ELECTION CODE (b) For an election held on the uniform election date in May, the local canvass must occur not later than the 11th day after election day and not earlier than the later of: (1) the third day after election day; (2) the date on which the early voting ballot board has verified and counted all provisional ballots, if a provisional ballot has been cast in the election; or (3) the date on which all timely received ballots cast from addresses outside of the United States are counted, if a ballot to be voted by mail in the election was provided to a person outside of the United States. (c) In an election described by Section 65.051(a-1), the time for the local canvass maybe set not later than the 14th day after election day. Definition of"local canvass,' see Sec. 1.005(11). Local canvassing authority, see Sec. 67.002. May unifonn election date, see Sec. 41.001. Verifying and counting provisional ballots, see Sec. 65.051 and notes thereunder. Counting overseas ballots, see Sec. 87.125. Time farlocal canvass ofprimary election, see Sec. 172.116. Time for local canvass of special election for legislature or congress, see Secs, 203.012, 204.005, and 204.021. De. 67.004. Procedure for local canvass. (a) At the time set for convening the canvassing authority for the ,local canvass, the presiding officer of the canvassing authority shall deliver the sealed precinct returns to the authority. The authority shall open the returns for each precinct and canvass them as provided by this section. Two members of the authority constitute a quorum for purposes of canvassing an election. (b) The canvassing authority shall prepare a tabulation stating for each candidate and for and against each measure: (1) the total number of votes received in each precinct; and (2) the sum of the precinct totals tabulated under Subdivision (1). (b-1) The tabulation in Subsection (b) must also include for each precinct the total number of voters who cast a ballot for a candidate or for or against a measure in the election. The secretary of state shall prescribe any procedures necessary to implement this subsection. (c) The canvassing authority may prepare the tabulation as a separate document or may enter the tabulation directly in the local election register maintained for the authority. The authority shall attach or include as part of the tabulation the report of early voting votes by precinct received under Section 87.1231. (d) The canvassing authority may compare the precinct returns with the corresponding tally list. If a discrepancy is discovered between the vote totals shown on the returns and those shown on the tally list for a precinct, the presiding judge of the precinct shall examine the returns and tally list and make the necessary corrections on the returns. (e) On completion of the canvass, the presiding officer of the canvassing authority shall deliver the tabulation to the custodian of the local election register unless it is entered directly in the election register. The custodian shall preserve the tabulation for the period for preserving the precinct election records. (f ) On completion of the canvass, the presiding officer of the canvassing authority shall deliver the precinct returns, tally lists, and early voting precinct report used in the canvass to the general custodian of election records. The custodian shall preserve them for the period for preserving the precinct election records. Definition of "local canvass," see Sec. 1.005(11). Local canvassing authority, see Sec. 67.002. Time for local canvass, see See. 67.003. Definition of "treasure," see Sec. 1.005(12). Local election register and custodian, see Sec. 67.006. Tally list, see Sec. 65.004. General custodian of election records, see Sec. 66.001. Period for preservingprecinct election records, see Sec. 66.058. Time for delivery of returns to custodian when recount requested, see Sec. 212.033. Local canvass of primary election, see Sec, 172.116. Open Meetings Law. See. 551.002 of the Open Meetings Law (Chapter 551, Government Code) requires the canvass to be conducted at a public meeting. See Secs. 551.041, 551.041 I, and 551.043 of that law for notice and posting requirements. See Open Meetings Law fm details on requirements for open meetings. 171 Link for the form is: http://www.sos.state.tx.us/elections/forms/pol-sub/1-8Epdf For each precinct that is combined to form a consolidated precinct under Section 42.008 of the Texas Election Code, not later than Monday, October 30, 2017, you shall also post at the polling place used in the preceding general election notice of the precinct's consolidation and the location of the polling place in the consolidated precinct. You are also responsible for sending to each election judge a writ of election, which is notice to the judge of his/her duty to hold the election on November 7, 2017. The writ must be sent no later than Monday, October 23, 2017. The link to a sample of that form is: hn://www.sos.state.tx.us/elections/forms/pol-sub/4-12fpdf. In the space for the "Nature of Election," we recommend the following verbiage: "To adopt or reject the proposed Constitutional Amendments as submitted by the 85th Legislature, Regular Session, of the State of Texas" Due to the changes brought about by HB 929 (85°i Regular Session), the commissioners court must canvass the constitutional amendment election no earlier than Friday, November 10 and no later than Monday, November 20, 2017. The canvass cannot take place prior to the reconvening of the early voting ballot board to count any late ballots arriving from military voters using the FPCA or from outside the United States, and to count provisional ballots. Note that the officially canvassed returns for the state constitutional amendment election must be delivered by the county election officer to the Secretary of State within 24 hours of the canvass. If you have any questions regarding the constitutional amendment election, please feel free to contact the Elections Division toll-free at 1-800-252-2216. KI:LO Enclosure: Governor's Proclamation CC: County Clerks/Elections Administrators I Calhoun County Commissioners' Court — October 12, 2017 19. ACCEPT REPORTS OF THE FOLLOWING COUNTY OFFICES: (AGENDA ITEM NO. 18) i. Calhoun Tax Assessor/ Collector ii. County Treasurer iii. County Sheriff — Aug 17, Sept 17, iv. District Clerk v. County Clerk — Aug 17 vi. Justices of Peace — JP1 Sept 17, JP2 Sept 17, JP4 Sept 17, JPS Sept 17, JPS Revised Sept 17. vii. County Auditor viii. Floodplain Administration ix. Extension Service x. Adult Detention Center SHP Medical RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 17 of 28 SHERIFF'S OFFICE MONTHLY REPORT Aug -17 BAIL BOND FEE $ 810.00 CIVIL FEE $ 247.51 JP#1 $ 1,834.10 JP#2 $ 1,986.40 JP#3 $ - JP#4 $ JP#5 $ COUNTY COURT $ 187.00 SEADRIFT MUN. $ PC MUN. $ PL MUN $ OTHER $ CASH BOND $ - TOTAL: $ 5,065.01 SHERIFF'S OFFICE MONTHLY REPORT Sep -17 BAIL BOND FEE $-, ___._11365.00 CIVIL FEE (_$ 1,154.00 JP#1 $ --- —_- JP#2 $ 2,066.80 JP#3 $ 1,124.50 JP#4 $ - JP#5 $ 1,365.00 PL MUN. $ COUNTY COURT $ - SEADRIFT MUN. $ 545.00 PC MUN. $ 167.00 OTHER $ CASH BOND $ TOTAL: $ 7,787.30 Case �o-l1- 1-1 CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION AUGUST 2017 DESC GI CODE CIVIL CRIMINAL OFFICIAL PUPLIC RECORDS PROBATE : TOTAL DISTRICT ATTORNEY FEES IWO 44020 $ 120.04 $ 120.04 BEER LICENSE 1000-42010 $ - $ - COUNTYCLERKFEES 1000-44030 $ 260.00 $ 192.07 $ 9,777.70 $ 316.00 $ 10,545.77 CO. JURY FEE 1000-44140 $ JURY FEE 100044140 $ - $ - ELECTRONICFIUNGFEESFOR&FILINGS IWO44058 $ 46.00 $ - $ - $ 48.00 $ 94.OD JUDGE'S EDUCATION FEE 100044160 $ - $ 25.00 $ 25.00 JUDGE'S ORDE8/51GNATURE 100044180 $ 10.00 $ - $ 36.00 $ 46.00 SHERIFF'S FEES 1000-4419D $ - $ 109.50 $ - $ 200.00 $ 309.50 VISUAL RECORDER FEE 100044250 $ 26.40 $ 26.40 COURT REFPORTER FEE 100044270 $ 90.00 $ 75.00 $ 165.00 RESTITUTION DUE TO OTHERS 1OW-49020 $ - ATTORNEY FEES -COURT APPOINTED 100049030 $ 749,04 $ 749.94 APPELLATE FUND( TGC) FEE 2620A4030 $ 30.00 $ 30.00 $ 60,00 TECHNOLOGY FUND 266344030 $ 19.21 $ 19.21 COURTHOUSE SECURITY FEF. 267044030 $ 30.00 $ 14.39 $ 387.00 $ 30.00 $ 461.30 COURT INITIATED GUARDIANSHIP FEE 2672.44030 $ 120.00 $ 120,00 COURT RECORD PRESERVATION FU ND 267344030 $ 60.00 $ 60.00 $ 12090 RECORDS ARCHIVE FEE 2675-44030 $ 3,390.00 $ 3,300.00 DRUG& ALCOHOL COURT PROGRAM 2698-44030005 $ 79.63 $ 79.63 JUVENILE CASE MANAGER FUND 2699-4.4033 $ - $ - FAMILYPROTECTIONFUND 2706.44030 $ 30.00 $ 30.00 PRE-TRIAL DIVERSON AGREEMENT 2729-04034 $ - $ - LAWLIBARYFEE 2731-44030 $ 210.00 $ 175.00 $ 385.00 RECORDSMANAGEMENT FEE - CO OR 273844380 $ 12.00 $ 3,540.00 $ 3,552.00 RECORDS MANGEMENT 2739-10899,44030 $ 30.00 $ 108.03 $ - $ 30.00 $ 168.03 BONDFORFEITURE 2740001-45050 $ - $ - FINF5-COU NTY COURT 2740.45040 $ 264.31 $ 264.31 STATE POLICE OFFICER FEES 7020-20740 $ 1.72 $ 1.72 CONSOLI DATED COURT COSTS 7070-10899 $ - $ - CONSOUDATED COURT COSTS -COUNTY 7070-20610 $ 39.06 $ 39,86 CONSOU DATED COURT COSTS - STATE 707020740 $ 359.50 $ 359.58 DRUG& ALCOHOL COURT PROGRAM -COUNTY 7390-20610-999 $ 15.93 $ 15.93 DRUG& ALCOHOL COURT PROGRAM -STATE 7390-20740-999 $ 63.73 $ 63.73 STATE ELECTRONIC FILING FEE 7403-999-22887 $ 180.00 $ 100.00 $ 360.00 STATE ELECTRONIC FILING FEE CR 7403999.22990 $ 24.00 $ 24.00 EMSTRAUMA 7405-999-20740 $ 148.34 $ 148.34 CIVIL INDIGENT FEE -COUNTY 748040610 $ 3.00 $ 3.00 $ 600 CIVIL INDIGENT FEE -STATE 748020740 $ 57.00 $ 57.00 $ 114.00 JUDICIALFUND COURT COSTS 7495.20740 $ 72.01 $ 72.01 JUDICIAL SALARY FUND -COUNTY 7505-20610 $ 2.05 $ 2.85 JUDICIAL SALARY FUND -STATE 7505-20740 $ 25.83 $ 25,93 JUDICIAL SALARY FUND 7505-20740.005 $ 252.00 $ - $ 210.00 $ 462.00 TRAFFIC LOCAL (ADMINISTRATIVE FEES) 7538-22884 $ 0.07 $ 0.07 COURT COST APPEAL OF TRAFFIC REG RP APPEAL) 7538-22885 $ - $ - JUVENILE CRIME & DELINQUENCY FUND 753 8-2 288 6 $ - BIRTH -STATE 7855-20780 $ 100.80 $ 100.80 INFORMAL MARRIAGES - STATE 7855-20782 $ 12.60 $ 12.60 JUDICIAL FEE 7855-20786 $ 240.00 $ 200.00 $ 440.00 FORMAL MARRIAGES - STATE 7855-20788 $ 240.00 $ 240.00 NONDISCLOSURE FEE 7855-999-20790 § - $ - TCLEOSE COURT COST 7856-999-20740 $ 0.18 $ 0.18 JURY REIMBURSEMENT FEE 7857-10899 $ - $ JURY REIMBU RSEMENT FEE -COUNTY 7857-20610 $ 1.93 $ 1.93 JURY REIMBURSEMENT FEE -STATE 7857-20740 $ 17.26 $ 17.26 STATE TRAFFIC FINE - COUNTY 7860-20610 $ 0.44 $ 0.44 STATE TRAFFIC FINE - STATE 7860-20740 $ 8.26 $ 8.26 INDIGENT DEFENSE FEE .COUNTY 7865.20610 $ 0.95 $ 0.95 INDIGENT DEFENSE FEE - STATE 7865-20740 $ 8.65 $ 8.65 TIME PAYMENT 7865-10899 $ - $ - TIME PAYMENT -COUNTY 7950.20610 $ 60.01 $ 60.01 TIME PAYMENT -STATE 7950-20740 $ 60.04 $ 60.01 BAIL JUMPING AND FAILURETO APPEAR -COUNTY 7970-20610 $ - BAILJUMPINGAND FAILURE TOAPPEAR -STATE 7970-20740 $ ' DUE PORT IAVACA PD 9990-99991 $ 5,97 $ 6.97 DUE SEADRIFT PD 9990.99992 $ $ - DUE TO POINT COMFORT PD 999099993 $ 2,86 $. 2.85 DUE TO TEXAS PARKS & WILDLIFE 9990-99994 $ 1,184.46 $ 1,184.45 DUE TO TEXAS PARKS& WILDLIFE WATER SAFETY 9990.09995 $ DUETOTABC 9990-99996 $ - DUE TOOPERATING/NSF CHARGES/DUE TO OTHERS $ $ $ 711.00 $ 711.OD 1 1,528,00 $ 3,001.30 $ 18,159,00 $ 1,795,00 $ 26,283,30 TOTAL FUNDS COLLECTED $ 26,283.30 - FUNDSHELOINESCROW: $ (3.00) AMOUNT DUE TO TREASURER: $. 'L. 23,37903P TOTAL RECEIPTS: $ 25,280:30:1 AMOUNT DUE TO OTHERS: $ 1.901.27 IOF2 REPORTWO17.009117 TREASURER REPORTS 020/1017 CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION AUGUST 2017 'I "BALANCE MOVED TO NEW PROSPERUYA000UNT" `NEGATIVE AMOUNT IS THF OUTSTANOING CHECKS— "BALANCE MOVER TO NEW PROSPERITY ACCOUNT" "NEGATIVE AMOUNT IS THE OUTSTANDING CHECKS" CD'S Date Issued Balance Purchasest WlthdraWals Balance 12/31/2018 : Interest "08131117 74926 11/19/2009 $ 1,846.54 $ 1,846.54 49466 1/30/2013 § 19,691.19 $ 49.24 $ 19,740.43 60782 1/15/2015 $ 9,402.02 $ 18.83 $ 9,420.85 60790 1/16/2015 $ 9,402.02 $ 18.83 $ 9,420.85 50804 1/16/2015 $ 9,402.02 $ 18.03 $ 9,420,05 60863 2/212016 $ 3,508.76 $ 8.75 $ 3,517.50 60071 2/2/2015 $ 3,508.76 $ 8.75 $ 3,517.50 51134 5/20/2016 $ $ $ $ TOTALS: $ 56,761.28 $ 123.23 $ $ 68,684.52 6//IhG. Submilled by: AnnR M Gocdmen, County Clerk Oele U.Ie REPORT91A0.4THLMUMT0R ANU TREASURER REPORTS=17.06MO TREAWNER REPORT$ 20F2 OMM17 V.VV 0.00 567.36 56.73 0.00 0.66 0.00 0.00 0.00 0.00 0.00 203.04 0.00 0.00 0.00 28.38 0.00 10.11 0.00 56.73 27.70 J 0.00 0.00 0.00 0.00 0.00 24.24 0.00. 142.86 0.00 `56.73 14.26 119.44. 21.82: 414.56 =:1,326.40 9.90 0.00 0.00' 105.00 0.00 0.00 0.00 24.00' `. 89.46. 75.00 0.00 40.00 0.00 10.00 0.00 300.00 .::0.00'. 3,030.50 0.00 0.00 0.00 0.00 9.00 0.00. 0.00 TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT D.R. REQUESTING DISBURSEMENT DR REQUESTING DISBURSEMENT D.R. REQUESTING DISBURSEMENT D.R. REQUESTING DISBURSEMENT D.R. REQUESTING DISBURSEMENT (IF REQUIRED) 1` 1 / 1' t I I ♦ �' 10/2/2017 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2017 Page 1 of 2 ACCOUNTNUMBER ACCOUNTNAME AMOUNT CR 1000-001-45011 FINES 3,030.50 CR 1000-001-44190 SHERIFF'S FEES 435.27 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 9.90 CHILD SAFETY 0.00 TRAFFIC 14.26 ADMINISTRATIVE FEES 10.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 34.16 CR 1000-001-44010 CONSTABLE FEES -SERVICE 375.00 CR 1000-001-44061 JP FILING FEES 105.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 9.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE -SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 1,326.40 TOTAL FINES, ADMIN. FEES & DUE TO STATE $5,315.33 CR 2670-001-44061 COURTHOUSE SECURITY FUND $42.55 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $14.18 CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $56.73 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $10.11 STATE ARREST FEES DPS FEES 31.25 P&W FEES 0.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE_ ARREST FEES 31.2.5 CR 7070-999-20610 CCC -GENERAL FUND 56.74 CR 7070-999-20740 CCC -STATE 510.62 DR 7070-999-10010 567.36 CR 7860-999-20610 STF/SUBC-GENERAL FUND 7.14 CR 7860-999-20740 STF/SUBC-STATE 135.72 DR 7860-999-10010 942.86 CR 7950-999-20610 TP -GENERAL FUND 59.72 CR 7950-999-20740 TP -STATE 59.72 DR 7950-999-10010 999.44 CR 7480-999-20610 CIVIL INDIGENT LEGAL -GEN. FUND 1.20 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 22.80 DR 7480-999-10010 24.00 Page 1 of 2 TOTAL (Distrib Req to OperAcct) $6,763.90 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 10/2/2017 COURT NAME: JUSTICE OF PEACE NO. 1 0.00 REFUND OF OVERPAYMENTS 0.00 MONTH OF REPORT: SEPTEMBER CASH BONDS 0.00 PARKS & WILDLIFE FINES YEAR OF REPORT: 2017 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS -GEN FUND 2.84 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS -STATE 25.54 DR 7865-999-10010 28.38 CR 7970-999-20610 TUFTA-GENERAL FUND 67.68 CR 7970-999-20740 TL/FTA-STATE 135.36 DR 7970-999-10010 203.04 CR 7505-999-20610 JPAY - GENERAL FUND 8.95 CR 7505-999-20740 JPAY - STATE 80.51 DR 7505-999-10010 89.46 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 5.67 CR 7857-999-20740 JURY REIMB. FUND- STATE 51.06 DR 7857-999-10010 56.73 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS, GEN FUND 0.07 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 0.59 DR 7856-999-10010 0.66 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 21.82 DR 7998-999-10010 21.82 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 40.00 DR 7403-999-22889 40.00 TOTAL (Distrib Req to OperAcct) $6,763.90 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FEE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $0.00 TOTAL COLLECTED -ALL FUNDS $6,763.90 LESS: TOTAL TREASUER'S RECEIPTS $6,763.90 REVISED 03/04/16 OVER/(SHORT) $0.00 Page 2 of 2 CALH UN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 450 A 43011 PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: PAYOR Official: Title: Hope Kurtz Justice of the Peace, Pct. 1 :ACCOUNT NUMBER DESCRIPTION AMOUNT 7541.999.20759-999 JP1 Monthly Collections- Distribution $6,763.90 SEPTEMBER 2017 967 TOTAL 6,763.90 0-0 .2 -Al of Official -J Date ENTER COURT NAME.' " JUSTICE OF PEACE NO. 2 ENTER MONTH OF REPORT ENTER YEAR OF REPORT 61. CODE AMOUNT ;CASH 80NDS'i 0.00 REVISED 03/04/16 ADMINISTRATION FEE-ADMF 0.00 BREATH ALCOHOL TESTING -BAT 0.00 CONSOLIDATED COURT 'COSTS -COO 1,291.73 COURTHOUSE SECURITY -CHS 129.19 CJP 0.00 CIVIL. JUSTICE DATA REPOSITORY FEE - CJDR 2.44 CORRECTIONAL MANAGEMENTINSTITUTE-CMI 0.00 CR 0.00 CHILD SAFETY -CS 0.00 CHILD SEATBE.�LTFEE-CSBF ae6 CRIME VICTIMS COMPENSATION -CVC 0.00 DPSC/FAILURE; TO APPEAR = OMNI -DPSC 92.18 ELECTRONIC FILING FEE 90.00 FUGITIVE APPREHENSION - FA 0.00 GENERAL REVENUE -GR 0.00 CRIM- IND LEGAL SVCS SUPPORT -IDR 6459 JUVENILE CRIME & DELINQUENCY -JOD 0.00 E JUVENILE -CASE, MANAGER FUND -JCMF 90.00 JUSTICE COURT PERSONNEL TRAINING -JOPT 0.00 i JUSTICE COURT SEOURITY'FUND-JCSF 0.00 JUROR SERVICE FEE -JSF 129.19 LOCAL ARREST FEES -LAF 51.04 LEMI 0.00 LECA 0.00 LEOC 0.00 OCL 0.00 'PARKS& WILDLIFE ARREST FEES -PWAF 15.00 ;STATE ARREST FEES -SAF 80.42 SCHOOL CROSSING/CHILD SAFETY FEE -SCF 0.00 SUBTITLE C-SUBC 583.38 TABCARRESTFEES-TAF 0.00 TECHNOLOGY FUND -TF 129.19 TRAFFIC - TFC 58.36 TIME PAYMENT-. TIME 40.35 TRUANCY PREVENT/DIVERSION,FUND-TPDF, 62.59 :.LOCAL& STATE WARRANTFEES -WRNT 223.32 COLLECTION SERVICE FEE�MV8A-CSRV 708-30 DEFENSIVE DRIVING(JOURSE - DDC 0.00 DEFERRED FEE - OFF 394.60 DRIVING EXAM FEE- PROV OL 0.00 . -FILING FEE -FFEE 311.00 FILING FEE SMALL CLAIMS- FFSC 0.00 COPIES/CERTIFEDCOPIES-CC 0.00 INDIGENT FEE +-DIFForIND F 54.00 JUDGE PAY RAISE FEE -JPAY 193.73 SERVICE FEE -SFEE 675.00 OUT-OF-COUNTY,SERVICE FEE 0.00 EXPONGEMENT FEE -EXPG 0.00 EXPIRED RENEWAL-EXPR 10.00 - ASSTRACTOFJUDGEMENT-AOJ 0.00 ALL WRITS-,WOP/WOE 0.00 OPS FTA FINE - DPSF 594.00 LOCAL FINES- FINE 3,446.20 LICENSE & WEIGHT FEES -LWF 0.00 PARKS & WILDLIFE -FINES -PWF 437.00 - SEATBELT/UNRESTRAINED CHILD FINE -SEAT 0.00 ' OVERPAYMENT ($10 & OVER) -OVER 0.00 OVERPAYMENT (LESS THAN $10) - OVER 0.00 RESTITUTION. REST 0.00 PARKS &WILDLIFE -WATER SAFETY FINES*SF 0.00 WCR 0.00 TOTALACTUAL MONEY RECEIVED' 9,961 TYPE: AMOUNT TOTAL WARRANT FEES 223.$2 ENTER LOCAL WARRANT FEES 20000 RECORD ONTO TAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT STATE WARRANT FEES, 23.32 RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT DUE TO OTHERS: AMOUNT DUE TO CCISD- 50°/ of Fine on JV cases 0.00 PLEASEINCLUDE DR REQUESTING DISBURSEMENT DUE TO DA RESTITUTION FUND O.90t PLEASEINCLUDE D.R. REQUESTING DISBURSEMENT REFUND'OF OVERPAYMEENTS 0,00: PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT OUT -OF -COUNTY SERVICE FEE 0.00,' PLEASE INCLUDE D,R. REQUESTING DISBURSEMENT GASOND$ H B 0.00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENTIIF REQUIRED) TOTAL DUE TO OTHERS" 6, 0. TREASURERS RECEIPTS FOR MONTH: AMOUNT CASH, CHECKS, M.O.s &CREDIT CARDS $9,958.80 Calculate from ACTUAL Treasurers Receipts i TOTAL TREAS. RECEIPTS: $9,966180. 10/2/2017 COURT NAME: JUSTICE OF PEACE NO. 2 Page 1 of 2 ACCOUNT NUMBER ACCOUNTNAME AMOUNT CR 1000-001-45012 FINES 4,105.75 CR 1000-001-44190 SHERIFF'S FEES 346.03 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 0.00 CHILD SAFETY 0.00 TRAFFIC 58.36 ADMINISTRATIVE FEES 404.60 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 462.96 CR 1000-001-44010 CONSTABLE FEES -SERVICE 675.00 CR 1000-001-44062 JP FILING FEES 311.00 CR 1000-001-44090 COPIES/ CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE -SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 708.30 TOTAL FINES, ADMIN. FEES & DUE TO STATE $6,609.04 CR 2670-001-44062 COURTHOUSE SECURITY FUND $96.89 CR 2720-001-44062 JUSTICE COURT SECURITY FUND $32.30 CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $129.19 CR 2699-001-44062 JUVENILE CASE MANAGER FUND $90.00 S PATE ARREST FEES DPS FETES 20.75 P&W FEES 3.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 23.75 CR 7070-999-20610 CCC -GENERAL FUND 129.17 CR 7070-999-20740 CCC -STATE 1,162.56 DR 7070-999-10010 1,291,73 CR 7860-999-20610 STF/SUBC-GENERAL FUND 29.17 CR 7860-999-20740 STF/SUBC-STATE 554.21 DR 7860-999-10010 583.38 CR 7950-999-20610 TP -GENERAL FUND 20.18 CR 7950-999-20740 TP -STATE 20.17 DR 7950-999-10010 40.35 CR 7480-999-20610 CIVIL INDIGENT LEGAL -GEN, FUND 2.70 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 51.30 DR 7480-999-10010 54.00 Page 1 of 2 TOTAL (Distrib Req to OperAcct) $9,585.35 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 10/2/2017 COURT NAME: JUSTICE OF PEACE NO. 2 0.00 REFUND OF OVERPAYMENTS 0.00 MONTH OF REPORT: 0 0.00 CASH BONDS 0.00 YEAR OF REPORT: 0 371.45 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS -GEN FUND 6.46 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS -STATE 58.13 DR 7865-999-10010 64.59 CR 7970-999-20610 TL/FTA-GENERAL FUND 30.73 CR 7970-999-20740 TL/FTA-STATE 61.45 DR 7970-999-10010 92.18 CR 7505-999-20610 JPAY - GENERAL FUND 19.37 CR 7505-999-20740 JPAY - STATE 174.36 DR 7505-999-10010 193.73 CR 7857-999-20610 JURY REIMS. FUND- GEN. FUND 12.92 CR 7857-999-20740 JURY REIMB. FUND- STATE 116.27 DR 7857-999-10010 129.19 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS, GEN FUND 0.24 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 2.20 DR 7856-999-10010 2.44 CR 7998-999-20740 TRUANCY PREV/DIV FUND - STATE 62.59 DR 7998-999-10010 62.59 CR 7403-999-22889 ELECTRONIC FILING FEE - STATE 90.00 DR 7403-999-10010 90.00 TOTAL (Distrib Req to OperAcct) $9,585.35 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FEE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 371.45 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $371.45 TOTAL COLLECTED -ALL FUNDS $9,956.80 LESS: TOTAL TREASUER'S RECEIPTS $9,956.80 REVISED 03/04/16 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN DISTRIBUTION COUNTY REQUE-ST 201 West Austin DR# 460 A 43010 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Address: Title: City: State: Zip: Phone: Calvin Anderle Justice of the Peace, Pct. 2 '. ACCOUNT: NUMBER DESCRIPTION : AMOUNT 7542-999-20759.999 JP2 Monthly Collections - Distribution $9,585.35 0 0 `'# 967 Signature of Official Date TOTALI 9,585.35 10-03-17;13:01 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 1/ 4 FAX COVER. SHEET September 3, 2017 FROM: Justice Court Pct. 4, Calhou County_ 103 W. Dallas Street, P.O. Box 520 Seadrift, Texas 779$3 PHONE: 361-785-7082 FAX: 361-7852179 TO: Susan RilevRilev REF: Money Distribution Report FAX: 361-553-4444 NOTE: The September 2017 report is attached. Please give mea call if you have any auees_tions Pages To Follow: 4 Including This Cover. Thank you, Judge Wesley J. Hunt 10-03-17;13;01 ;From: Calhoun County JP4 To:5534444 ;3617852179 # 2/ 4 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 10/3/2017 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2017 Page 1 of 2 ACCOUNT NUMBER ACCOUNTNAME AMOUNT OR 1000-001-45014 FINES 1,272.10 OR 1000-001-44190 SHERIFF'S FEES 148.84 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 0.00 CHILD SAFETY 0.00 TRAFFIC 7.70 ADMINISTRATIVE FEES 0.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 OR 1000-001-44364 TOTAL ADMINISTRATIVE FEES 7,70 OR 1000-001-44010 CONSTABLE FEES -SERVICE 150.00 OR 1000-001-44064 JP FILING FEES 110.00 OR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 OR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 OR 1000.001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 OR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 OR 1000-999-20744 DUE TO STATE -SEATBELT FINES 0.00 OR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 OR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 OR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 636.10 TOTAL FINES, ADMIN. FEES & DUE TO STATE $2,224.74 OR 2670-001-44064 COURTHOUSE SECURITY FUND $31.70 OR 2720-001-44064 JUSTICE COURT SECURITY FUND $10.67 OR 2719-001-44064 JUSTICE COURT TECHNOLOGY FUND $42.27 OR 2699-001.44064 JUVENILE CASE MANAGER FUND $18.84 STATE ARREST FEES DPS FEES 3.00 P&W FEES 1.00 TABC FEES 0.00 OR 7020-999-20740 TOTAL STATE ARREST FEES 4.00 OR 7070-999-20610 CCC -GENERAL FUND 42.27 CR 7070-999-20740 CCC -STATE 380.45 DR 7070-999-10010 422.72 OR 7860-999-20610 STF/SUBC-GENERAL FUND 3.85 OR 7860-999-20740 STFISUBC-STATE 73.19 DR 7860-999.10010 77.04 OR 7950-999-20610 TP -GENERAL FUND 69.60 OR 7950-999-20740 TP -STATE 69.60 DR 7950-999-10010 139.20 OR 7480-999-20610 CIVIL INDIGENT LEGAL -GEN. FUND 1,20 OR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 22.80 DR 7480-999-10010 24.00 Page 1 of 2 10-03-17;13;01 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 3/ 4 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS DUE TO OTHERS (Distrib Req A(tchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FEE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $0.00 TOTAL COLLECTED•ALL FUNDS $3,269.70 LESS: TOTAL TREASUER'S RECEIPTS $3,269.70 REVISED 03/04/16 OVER/(SHORT) $0.00 Page 2 of 2 10/3/2017 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2017 CR 7866.999-20610 CRIM-SUPP OF IND LEG SVCS -GEN FUND 2.11 CR 7865.999-20740 CRIM-SUPP OF IND LEG SVCS -STATE 19.03 DR 7865-999-10010 21.14 CR 7970.999-20610 TL/FTA-GENERAL FUND 30.00 CR 7970-999-20740 TUFTA-STATE 60.00 DR 7970-999.10010 90.00 CR 7505-999-20610 JPAY - GENERAL FUND 6.34 CR 7505-999.20740 JPAY - STATE 57.07 DR 7606-909-10010 63.41 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 4.23 CR 7857-999-20740 JURY REIMB. FUND- STATE 38.04 DR 7857-999-10010 42.27 CR 7856-990.20610 CIVIL JUSTICE DATA REPOS,- GEN FUND 0.07 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 0.59 DR 7856-999-10010 0.66 CR 7996-999-20740 TRUANCY PREV/DIV FUND - STATE 17.14 DR 7998-999-10010 17.14 CR 7403-999-22889 ELECTRONIC FILING FEE 40.00 DR 7403-999-10010 40.00 TOTAL (Distrib Req to OperAcct) $3,269.70 DUE TO OTHERS (Distrib Req A(tchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FEE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $0.00 TOTAL COLLECTED•ALL FUNDS $3,269.70 LESS: TOTAL TREASUER'S RECEIPTS $3,269.70 REVISED 03/04/16 OVER/(SHORT) $0.00 Page 2 of 2 10-03-17;13:01 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 4/ 4 CALHOUN COUNTY 201 West Austin DISTRIBUTION REQUEST DR## 480 A 43011 PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip; Phone: PAYOR Official: Title: westeyHunt Justice of the Peace, Pct. 4 ACCOUNT NUMBER DESCRIPTION AMOUNT 7544-999.20759.999 JP4 Monthly Collections • Distribution $3,269.70 SEPTEMBER 2017 V# 967 Signature of Offl&" i Dat6 TOTAL 3,269.70 376169 1707-0587 09-11-2017 JSF 4.00 CCC 40.00 CHS 3.00 PWAF 5.00 TF 4.00 .170.00 RAMOS, JOSEPH DAVID JCSF 1.00 JPAY 6.00 IDF 2.00 TPDF 2.00 PWF 103.00 376172 708-0628 09-18-2017 JSF (Do PV CCC Money Distribution Report CHS 3.00 PWAF CALHOUN J.P. 5 SEPTEMBER 2017 REPORT TF 4.00 Receipt Cause/Defendant Codes\Amounts LITTLEJOHN, MICHAEL LYNN Total 376167 1707-0536 09-05-2017 TSF 4.00 CCC 40.00 CHS 3.00 LAP 5.00 TF 4.00 92.00 Ili HUNT, GREGORY D JCSF 1.00 JPAY 6.00 TDF 2.00 TPDF 2.00 WSF 25.00 PWF 376169 1707-0587 09-11-2017 JSF 4.00 CCC 40.00 CHS 3.00 PWAF 5.00 TF 4.00 .170.00 RAMOS, JOSEPH DAVID JCSF 1.00 JPAY 6.00 IDF 2.00 TPDF 2.00 PWF 103.00 376172 708-0628 09-18-2017 JSF 4.00 CCC 40.00 CHS 3.00 PWAF 5.00 TF 4.00 170.00 SANDERS, ROBERT W. LITTLEJOHN, MICHAEL LYNN JCSF 1.00 JPAY 6.00 IDF 2.00 TPDF 2.00 PWF 103.00 133.00 Company Check Personal Check Comm Service 3761 A3 1709F;0638 ;i 09 28 2017 JSF 376173 170@'-0632-.:09.182017 376183 1706'0511 `09 27 2017 JSF `x2.97 CCC 29.@11 CHS 2.24 SAF 3.77 TF 2.98 SA .00'. ZtiNxGA� ISABELLA MARIA,! ': JCSF ':0.75 JPAY 4.47; IDF ;I 1,49 MVF 0,07 ,pp .O, 1:0 ' Money 0rd0Y' _ 30,00 TPDF 2.00; FYNE :1i9.9D _ 376174 1708-0630 09-18-2017 JSF 2.98 CCC 29.85 CHS 2.24 SAF 3.73 TF 2.99 50.00 PINEDA, ALYSSA RENEE TF JCSF 0.75 SPAY 4.48 IDP 1.49 TPDF 1.49 MVF 0.10 Money Order, 3767.2,5 1707-05b1 D9 21 207:7 JSF ::2.02, TFG 1,50: CCC :20,02 C,HS 1.50 LAR .2.50 7,20.00''. .SCOTT, SHES.EA LEIGH 's TF ''2.00 JCSP0.50: JPAY i� 3 00 L'DF 1,00 MUR '0.05 .Money Order: ': BUBO:15.,01--%-,TPDF .1,0A.; FINE :69,90 376176 1704-0453 09-25-2017 JSF 4.00 TFC 3.00 CCC 40.00 CHS 3.00 LAP 5.00 338.00 BUNTON, KAITLYN G TF 4.00 JCSF 1.00 JPAY 6.00 IDF 2.00 MVF 0.10 Cash SUBC 30.00 TPDF 2.00 OMNC 4.00 OMND 20.00 OMNO 6,00 FINE 129.90 ., CSRV 78.00. 37$177 Sry09y0642 is 09-25-201'7 JSF 4,bD CGG 40,00:. CHS 3<Otl 'PWAF 5-.06 'TO'4,00..' 454.00. SANDERS, ROBERT W, :': JCSF. :::1.00 apAY .6.00'% IDF I'. 2,00 Tph 2,0'0 POP 1:378,00 Company Cheek JCMF x:5.00 376178 1707-0593 09-26-2017 JSF 4.00 CCC 40.00 CHS 3.00 PWAF 5.00 TF 4.00 92.00 TREVINO, ADRIAN JCSF 1.00 JPAY 6.00 IDF 2.00 TPDF 2.00 PWF 25.00 376180 1709-0645 09-26-2017 JSF 4.00 CCC 40.00 CHS 3.00 PWAF 5.00 TF 4.00 95.00 POWELL, MICHAEL SCOTT JCSF 1.00 JPAY, 6.00 IDF 2.00 TPDF 2.00 WSF 23.00 376182 1706-0505 09-27-2017 JSF 4.00 CCC 40.00 CHS 3.00 '3.00 PWAF 5.00 TF 4.00 200.00 SANDERS, ROBERT W. BATEMAN, MADISON BROOKE JCSF 1.00 JPAY 6.00 IDP 2.00 TPDF TPDF 2.00 FINE 133.00 Company Check .,, JCMF Comm Service 3761 A3 1709F;0638 ;i 09 28 2017 JSF ;9.00 376183 1706'0511 `09 27 2017 JSF -:4:00 TPC 3 00; CCC s4tl 00 CNS 3.00 SAF .5.00 300.00 HAMMAQK, CODY RAY -: TF :4,AO JCSF 1.00:! JPAY. 6.00 .IDF 2,00 .O, 1:0 ' Gamm Service 30,00 TPDF 2.00; FYNE :1i9.9D _ 376184 1708-0625 09-27-2017 JSF 3.98 TFC 3.00 CCC 39.96 CHS 3.00 LAP 5.00 100.00 CRITENDON, TYLER WELLS TF 4..00 JCSF 1.00 JPAY 5.99 IDF 2.00 MVF 0.10 376186 1709-0656 09-27-2017 JSF 4.00 CCC 40.00 CHS 3.00 LAP 5.00 TF 4.00 320.00 OLIPHANT, DENNIS ALAN JCSF 1.00 JPAY 6.00 IDF 2.00 TPDF 2.00 FINE 253.00 376188 1708-0624 09-28-2017 FINE 100.00 100.00 GUZMAN, JESUS 376190 1709-0643 09-28-2017 JSP 4.00 CCC 40.00 CHS '3.00 PWAF 5.00 TF 4.00 572.00 SANDERS, ROBERT W. III JCSF 1.00 JPAY 6.00 IDF 2.00 TPDF 2.00 PWF 500.00 Company Check .,, JCMF 5.00 3761 A3 1709F;0638 ;i 09 28 2017 JSF ;9.00 CCC. 40.0T CHS :! 3.00 UAF 5..00 TF 4.Otl _ 567.00:; 10-05-2017 Page 1 Money Distribution Report CALHOUN J.P. 5 SEPTEMBER 2017 REPORT 376192 1709-0649 09-28-2017 JSF 4.00 CCC 40.00 CHS 3.00 PWAF 5.00 TF 4.00 170.00 NGUYEN, TRUONG JCSF 1.00 JPAY 6.00 IDF 2.00 TPDF 2.00 PWF 98.00 Personal Check JCMF 5.00 10-05-2017 Page 2 Money Distribution Report Type Code Description CALHOUN J.P. Count 5 SEPTEMBER Retained 2017 REPORT Disbursed Money -Totals The following totals represent - Cash and Checks Collected COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST IDP INDIGENT DEFENSE FUND COST JCSF JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FUND COST LAY SHERIFF'S FEE COST MVF MOVING VIOLATION FEE COST OMNC DPS OMNI FEE - COUNTY COST OMND DPS OMNI FEE - DPS COST OMNO DPS OMNI FEE - OMNIBASE COST PEAR TEXAS PARKS & WILDLIFE COST SAF DPS COST SUBC SUB TITLE C COST TF TECHNOLOGY FUND COST TFC TFC COST TPDF TRUANCY PREVENTION & DIVERSION FUND FEES CSRV COLLECTION SERVICES FEE FEES JCMF JUVENILE CASE MANAGER FEE FINE FINE FINE FINE PWF PARKS & WILDLIFE FINE FINE ESP WATER SAFETY FINE 15 15 15 15 15 15 6 4 1 1 1 7 2 3 15 3 15 1 5 4 8 2 55.96 41.98 2.80 14.00 8.39 5.59 27.50 0.03 4.00 0.00 0.00 28.00 5.97 74.98 55.97 7.50 0.00 78.00 25.00 332.80 307.80 7.20 503.68 0.00 25.18 0.00 75.55 50.36 0.00 0.29 0.00 20.00 6.00 7.00 1.49 0.00 0.00 0.00 27.98 0.00 0.00 0.00 1,744.20 40.80 559.64 41.98 27.98 14.00 83.94 55.95 27.50 0.32 4.00 20.00 6.00 35.00 7.46 74.98 55.97 7.50 27.98 78.00 25.00 332.80 2,052.00 48.00 Money Totals 17 1,083.47 2,502.53 3,586.00 The following totals represent - Transfers Collected COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST IDF INDIGENT DEFENSE FUND COST JCSF JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FUND COST LAR SHERIFF'S FEE COST MVF MOVING VIOLATION FEE COST OMNC DPS OMNI FEE - COUNTY COST OMND DPS OMNI FEE - DPS COST OMNO DPS OMNI FEE - OMNIBASE COST PWAF TEXAS PARKS & WILDLIFE COST SAF DPS COST SUBC SUB TITLE C COST TF TECHNOLOGY FUND COST TPC TFC COST TPDF TRUANCY PREVENTION & DIVERSION FUND FEES CSRV COLLECTION SERVICES FEE FEES JCMF JUVENILE CASE MANAGER FEE FINE FINE FINE FINE PWF PARKS & WILDLIFE FINE FINE WSF WATER SAFETY FINE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Transfer Totals 0 0.00 0.00 0.00 The following totals represent - Jail Credit and Community Service COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST IDF INDIGENT DEFENSE FUND COST JCSF JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FUND COST LAP SHERIFF'S FEE COST MVF MOVING VIOLATION FEE COST OMNC DPS OMNI FEE - COUNTY COST OMND DPS OMNI FEE - DPS COST DENO DPS OMNI FEE - OMNIBASE COST PWAP TEXAS PARKS & WILDLIFE 20ST SAF DPS OST SUBC SUB TITLE C 7 7 7 7 7 7 3 1 0 0 0 3 1 1 28.00 21.00 1.40 7.00 4.20 2.80 15.00 0.01 0.00 0.00 0.00 12.00 4.00 30.00 252.00 0.00 12.60 0.00 37.80 25.20 0.00 0.09 0.00 0.00 0.00 3.00 1.00 0.00 280.00 21.00 14.00 7.00 42.00 28.00 15.00 0.10 0.00 0.00 0.00 15.00 5.00 30.00 LO -05-2017 _ Page 3 Money Distribution Report Credit Totals 7 1,189.21 520.79 1,710.00 The following totals represent - Credit Card Payments COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY 1 1 4.00 3.00 CALHOUN J.P. 5 SEPTEMBER 2017 REPORT 40.00 3.00 Type Code Description Count Retained Disbursed Money Totals COST TF TECHNOLOGY FUND 7 28.00 0.00 28.00 1.00 6.00 4.00 0.00 0.00 0.00 0.00 0.00 5.00 0.00 0.00 4.00 0.00 2.00 0.00 5.00 0.00 198.00 0.00 COST TFC TFC 1 3.00 0.00 3.00 270.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 7 0.00 14.00 14.00 FEES CSRV COLLECTION SERVICES FEE 59.96 44.98 3.00 15.00 8.99 539.68 0.00 26.98 0.00 80.95 599.64 44.98 29.98 15.00 89.94 COST JSF JUROR SERVICE FUND COST LAP SHERIFF'S FEE COST MVP MOVING VIOLATION FEE 16 6 4 0 0.00 0.00 0.00 59.95 27.50 0.32 FEES JCMF JUVENILE CASE MANAGER FEE 0 0.00 0.00 0.00 4.00 FINE FINE FINE 5 1,001.90 0.00 1,001.90 20.00 FINE PWF PARKS & WILDLIFE PINE 2 30.90 175.10 206.00 6.00 FINE ESP WATER SAFETY FINE 0 0.00 0.00 0.00 40.00 7.46 74.98 59.97 7.50 Credit Totals 7 1,189.21 520.79 1,710.00 The following totals represent - Credit Card Payments COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY 1 1 4.00 3.00 36.00 0.00 40.00 3.00 COST IDF INDIGENT DEFENSE FUND 1 0.20 1.80 2.00 COST JCSF JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE PEE COST JSF JUROR SERVICE FUND COST LAP SHERIFF'S FEE COST MVP MOVING VIOLATION FEE COST OMNC DPS OMNI FEE - COUNTY COST OMND DPS OMNI FEE - DPS COST OMNO DPS OMNI FEE - OMNIBASE COST PWAF TEXAS PARKS & WILDLIFE COST SAF DPS COST SUBC SUE TITLE C COST TF TECHNOLOGY FUND COST TFC TFC COST TPDF TRUANCY PREVENTION & DIVERSION FUND FEES CSRV COLLECTION SERVICES FEE FEES JCMF JUVENILE CASE MANAGER FEE FINE FINE FINE FINE PWF PARKS & WILDLIFE FINE FINE ESP WATER SAFETY FINE 1 1 1 0 0 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1.00 0.60 0.40 0.00 0.00 0.00 0.00 0.00 4.00 0.00 0.00 4.00 0.00 0.00 0.00 5.00 0.00 29.70 0.00 0.00 5.40 3.60 0.00 0.00 0.00 0.00 0.00 1.00 0.00 0.00 0.00 0.00 2.00 0.00 0.00 0.00 168.30 0.00 1.00 6.00 4.00 0.00 0.00 0.00 0.00 0.00 5.00 0.00 0.00 4.00 0.00 2.00 0.00 5.00 0.00 198.00 0.00 Credit Card Totals 1 51.90 218.10 270.00 The following totals represent - Combined Money COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST IDF INDIGENT DEFENSE FUND COST JCSF JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE 16 16 16 16 16 59.96 44.98 3.00 15.00 8.99 539.68 0.00 26.98 0.00 80.95 599.64 44.98 29.98 15.00 89.94 COST JSF JUROR SERVICE FUND COST LAP SHERIFF'S FEE COST MVP MOVING VIOLATION FEE 16 6 4 5.99 27.50 0.03 53.96 0.00 0.29 59.95 27.50 0.32 COST OMNC DPS OMNI FEE - COUNTY 1 4.00 0.00 4.00 COST OMND DPS OMNI FEE - DPS 1 0.00 20.00 20.00 COST OMNO DPS OMNI FEE - OMNIBASE 1 0.00 6.00 6.00 COST PWAF TEXAS PARKS & WILDLIFE COST SAF DPS COST SUBC SUB TITLE C COST TF TECHNOLOGY FUND COST TFC TFC 8 2 3 16 3 32.00 5.97 74.98 59.97 7.50 8.00 1.49 0.00 0.00 0.00 40.00 7.46 74.98 59.97 7.50 COST TPDF TRUANCY PREVENTION & DIVERSION FUND FEES CSRV COLLECTION SERVICES FEE 16 1 0.00 78.00 29.98 0.00 29.98 78.00 FEES JCMF JUVENILE CASE MANAGER FEE 6 30.00 0.00 30.00 FINE FINE FINE 4 332.80 0.00 332.80 FINE PWF PARKS & WILDLIFE FINE FINE• WSF WATER SAFETY FINE 9 2 337.50 7.20 1,912.50 40.80 2,250.00 48.00 Money Totals 18 1,135.37. 2,720.63 3,856.00 The following totals represent - Combined Money and Credits COST CCC CONSOLIDATED COURT COSTS 23 87.96 791.68 879.64 COST CHS COURTHOUSE SECURITY 23 65.98 0.00 65.98 COST IDF INDIGENT DEFENSE FUND 23 4.40 39.58 43.98 COST JCSF JUSTICE COURT SECURITY FUND 23 22.00 0.00 22.00 Page 4 10-05-2017 Page 5 Money Distribution Report CALHOUN J.P. 5 SEPTEMBER 2017 REPORT Type Code Description Count Retained Disbursed Money -Totals COST JPAY JUDGE PAY RAISE FEE 23 13.19 118.75 131.94 COST JSF JUROR SERVICE FUND 23 8.79 79.16 87.95 COST LAF SHERIFF'S FEE 9 42.50 0.00 42.50 COST MVP MOVING VIOLATION FEE 5 0.04 0.38 0.42 COST OMNC DPS OMNI FEE - COUNTY 1 4.00 0.00 4.00 COST OMND DPS OMNI FEE - DPS 1 0.00 20.00 20.00 COST OMNO DPS OMNI FEB - OMNI13ASE 1 0.00 6.00 6.00 COST PWAF TEXAS PARKS & WILDLIFE 11 44.00 11.00 55.00 COST SAF DPS 3 9.97 2.49 12.46 COST SUBC SUB TITLE C 4 104.98 0.00 104.98 COST IF TECHNOLOGY FUND 23 87.97 0.00 87.97 COST TFC TFC 4 10.50 0.00 10.50 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 23 0.00 43.98 43.98 FEES CSRV COLLECTION SERVICES FEE 1 78.00 0.00 78.00 FEES JCMF JUVENILE CASE MANAGER FEE 6 30.00 0.00 30.00 FINE FINE FINE 9 1,334.70 0.00 1,334.70 FINE PWF PARKS & WILDLIFE FINE 11 368.40 2,087.60 2,456.00 FINE WSF WATER SAFETY FINE 2 7.20 40.80 48.00 Report Totals 25 2,324.58 3,241.42 5,566.00 10-05-2017 Page 5 Money Distribution Report 1V-V�-LV1/ Page 6 CALHOUN J.P. 5 SEPTEMBER 2017 REPORT Date Payment Type Fines court Costs Fees Bonds Restitution Other Total 00-00-0000 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1991 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1993 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1995 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1997 Cash & Checks Collected Jail Credits & Comm Service CIedit Cards & Transfers Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1999 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-2001 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-2003 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 01-01-2004 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 2,432.80 1,207.90 198.00 3,838.70 1,050.20 502.10 67.00 1,619.30 103.00 0.00 5.00 108.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3,586.00 1,710.00 270.00 5,566.00 TOTALS Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 2,432.80 1,207.90 198.00 3,838.70 1,059,20 502.10 67.00 1,619.30 103.00 0.00 5.00 108.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3,586.00 1,710.00 270.00 5,566.00 1V-V�-LV1/ Page 6 Money Distribution Report Section II: As Applicable Peace Officer Fees CALHOUN J.P. 5 SEPTEMBER 2017 REPORT 37.97 Description Count Collected Retained Disbursed 0.00 20.00 Judicial Fund - Const County Court State of Texas Quarterly Reporting Totals 0.00 0.00 0.00 State Comptroller Cost and Fees Report Judicial Fund - Statutory County Court 0 0.00 0.00 Section I: Report for Offenses Committed 0.00 Motor Carrier Weight Violations 0 0.00 01-01-04 Forward 19 674.62 134.94 539.68 Time Payment Fees 09-01-01 - 12-31-03 0 0.00 0.00 0.00 0.00 08-31-99 - 08-31-01 0 0.00 0.00 0.00 0.00 09-01-97 - 08-30-99 0 0.00 0.00 0.00 89.94 09-01-91 - 08-31-97 0 0.00 0.00 0.00 Truancy Prevention and Diversion Fund Bail Bond Fee 0 0.00 0.00 0.00 0.00 DNA Testing Fee - Convictions 0 0.00 0.00 0.00 190.92 DNA Testing Fee - Comm Supvn 0 0.00 0.00 0.00 DNA Testing Fee - Juvenile 0 0.00 0.00 0.00 CF: Birth Certificate Fees EMS Trauma Fund (EMS) 0 0.00 0.00 0.00 0.00 Juvenile Probation Diversion Fees 0 0.00 0.00 0.00 0.00 Jury Reimbursement Fee 16 59.95 5.99 53.96 0.00 Indigent Defense Fund 16 29.98 3.00 26.98 CF: Nondisclosure Fees Moving Violation Fees 4 0.32 0.03 0.29 0.00 State Traffic Fine 0 0.00 0.00 0.00 0.00 Section II: As Applicable Peace Officer Fees 10 47.46 37.97 9.49 Failure to Appear/Pay Fees 1 20.00 0.00 20.00 Judicial Fund - Const County Court 0 0.00 0.00 0.00 Judicial Fund - Statutory County Court 0 0.00 0.00 0.00 Motor Carrier Weight Violations 0 0.00 0.00 0.00 Time Payment Fees 0 0.00 0.00 0.00 Driving Record Fee 0 0.00 0.00 0.00 Judicial Support Fee 16 89.94 8.99 80.95 Truancy Prevention and Diversion Fund 0 0.00 0.00 0.00 Report Sub Total 82 922.27 190.92 731.35 State Comptroller Civil Fees Report CF: Birth Certificate Fees 0 0.00 0.00 0.00 CF: Marriage License Fees 0 0.00 0.00 0.00 CF: Declaration of Informal Marriage 0 0.00 0.00 0.00 CF: Nondisclosure Fees 0 0.00 0.00 0.00 CF: Juror Donations 0 0.00 0.00 0.00 CF: Justice Court Indig Filing Fees 0 0.00 0.00 0.00 CF: Stat. Prob Court Indig Filing Fees 0 0.00 0.00 0.00 CF: Stat Prob Court Judie Filing Fees 0 0.00 0.00 0.00 CF: Stat Cnty Court Indig Filing Fees 0 0.00 0.00 0.00 CF: Stat Cnty Court Judie Filing Fees 0 0.00 0.00 0.00 CF: Cnst Cnty Court Indig Filing Fees 0 0.00 0.00 0.00 CF: Cost Cnty Court Judie Filing Fees 0 0.00 0.00 0.00 CF: Dist Court Divorce & Family Law 0 0.00 0.00 0.00 CF: Dist Court Other Divorce/Family Law 0 0.00 0.00 0.00 CF: Dist Court Indig Legal Services 0 0.00 0.00 0.00 CF: Judicial Support Fee 0 0.00 0.00 0.00 Report Sub Total 0 0.00 0.00 0.00 Total Due For This Period 82 922.27 190.92 731.35 THE STATE OF TEXAS Before me, the undersigned authority, this day County of Calhoun County personally appeared Nancy Pomykal, Justice of the Peace, Precinct No 5, Calhoun County, Texas, who being duly sworn, deposes and says that the above a fnreeninc/ranorit is7true and correct. Witness my hand this ofe-'Peace, Precine No 5 Co12tv. Texas ANP JUSTICE FOR A(.(.._.. FAX COVER SHEET JUDGE NANCY POMYKAL P O BOX 454 PORT O' CONNOR, TX.77982 (361)983-2351 - TELEPHONE (361)983-2461 - FAX COUNTY OF CALHOUN JUSTICE COURT PCT. 5 DATE: SEPTEMBER 19, 2017 PAGES: 7 Including this cover TO: COUNTY JUDGE MIKE PFEIFER & COMMISSIONER'S COURT ATT: SUSAN RILEY FAX NUMBER(S) 361-553-4444 SUBJECT: REVISED JANUARY 2017 REPORT. DUE TO LINE ITEM ADJUSTMENT NOTE: Hi Susan. During my routine audit, Demi Cabera found a couple of court costs that were in the wrong line item She told me they had to be adjusted and the reports redone, even though the amounts didn't change. Therefore. I am submitting the corrected January 2017 resort for your records. If you have any questions, please call me. Thank you. Thank you, po THE CONTENTS OF THIS FAX MESSAGE ARE INTENDED SOLELY FOR THE ADDRESSEE(S) named in this message. This communication is intended to be and to remain confidential and may be subject to applicable attorney/client and/or work product privileges. If you are not the intended recipient of this message, or if this message has been addressed to you in error, please immediately alert the sender by fax and then destroy this message and its attachments. Do not deliver, distribute or copy this message and/or any attachments and if you are not the intended recipient, do not disclose the contents or take any action in reliance upon the information contained in this communication or any attachments. 375968 1611-0361 01-09-2017 JSF 4.00 Money Distribution Report 3.00 CCC 40.00 CHS 3.00 LAF 5.00 @ 507.00 MCGILL, MARSHALL GENE MCCORD, SEAN DAVID TF 4.00 4.00 JCSF 1.00 JP5, REVISED JANUARY 2017 REPORT MVF 0.10 MVF l€ Receipt Cause/Defendant Codes\Amounts 30.00 TPDF TPDF 2.00 DDC 9.90 OMND 20.00 OMNO 6.00 Totals 375961 1605-0175 01-03-2017 WENT 50.00 '4.00 TIME 25.00 3.001 OPEC 4.00 OMND 20.00 3.00 OMNO 6.00 110.00 227.50 MORSE, ABBIF. JEAN BARNES, TED SCOTT TF FINE 70.00 JCSF CSRV 52.50 6.00 CCC IDF 2.00 MVF Q.10 LAF 5,00 Personal Check 7, SUBC Jail Credit TPDF 2.D0', DDC f. 9,90 JCSF 1,001 JPAY -'. 6 00 375970 1611-0362 01-09-2017 JSF 4.00 -I 2.00 TFC 375962 160510183 101-03-2017 JSF 14.00 CHS CCC 40.00 5.00 CHS 3.00 LAC 5.00 TF WRNT 50.00 JCSF 565.50: JPAY BARNES, TED SCOTT ( TIME 25 00 TF 4,00 JCSF 1.06 JPAY 6.00 IDF 2.00 20.00 1, CADY, RUSSEL SCOTT Jail Credit'.: '.: TPDF 'd 2.06 OMNC 4.001 OMND .:20.06 OMNO 6.60 NINE 1263.00 I 1, CSRV 130.50 375963 1606-0205 01-03-2017 JSF 4.00 CCC 40.00 CHS 3.00 LAF 5.00 WENT 50.00 533.00 BARNES, TED SCOTT IF 4.00 JCSF 1.00 JPAY 6.00 IDF 2.00 TPDF 2.00 1 Jail Credit OMNC 4.00 OMND 20.00 OMNO 6.00 FINE 263.00 CSRV 123.00 375964 1610 -0349 101 03-2017 JSF ?4.00 CCG 40.00= CHS :- 3.00 LAF 5.00 WENT S0.00 533.00=. BARNES, TED ;SCOTT :: TF :4,00 JCSF 1100` JPAY - 6,00 IDF 2,00 TPDF'. 2,00 Tail Credit°. s. OMNC ':4,00 OMND 20,00: OMNO 6,00 FINE 263 00 CSRV x123,00 375965 1610-0350 01-03-2017 JSF 4.00 CCC 40.00 CHS 3.00 LAF 5.00 WENT 50.00 325.00 BARNES, TED SCOTT TF 4.00 JCSF 1.00 JPAY 6.00 IDF 2.00 TPDF 2.00 375968 1611-0361 01-09-2017 JSF 4.00 TFC 3.00 CCC 40.00 CHS 3.00 LAF 5.00 110.00 507.00 MCGILL, MARSHALL GENE MCCORD, SEAN DAVID TF 4.00 4.00 JCSF 1.00 JPAY 6.00 6.00 IDF 2.00 MVF 0.10 MVF 0.10 Money Order SUBC 30.00 TPDF TPDF 2.00 DDC 9.90 OMND 20.00 OMNO 6.00 FINE 375969 1611-0365 61-Q9 201'7 JSF '4.00 TFC 3.001 CCC ':40.00 CHS 3.00 LAR 5.00 110.00 MORSE, ABBIF. JEAN ': TF 14.00 3759"73 1607-9255 JCSF 1.00'. JPAY 6.00 CCC IDF 2.00 MVF Q.10 LAF 5,00 Personal Check 7, SUBC 30.00 TPDF 2.D0', DDC f. 9,90 JCSF 1,001 JPAY -'. 6 00 375970 1611-0362 01-09-2017 JSF 4.00 -I 2.00 TFC 3.00 CCC 40.00 OMNC CHS 3.00 LAF 5.00 110.00 ;'. 6.00 RODRIGUEZ, LUIS RENE II TF 4.00 CSRV JCSF 1.00 JPAY 6.00 01-25-2017 IDF 2.00 MVP 0.10 375972 1607-0254 01-17-2017 JSF 4.00 CCC 40.00 CHS 3.00 LAF 5.00 WENT 50.00 507.00 MCCORD, SEAN DAVID TF 4.00 JCSF 1.00 SPAY 6.00 IDF 2.00 MVF 0.10 Jail Credit TPDF 2.00 OMNC 4.00 OMND 20.00 OMNO 6.00 FINE 242.90 CSRV 117.00 3759"73 1607-9255 01-17-2017 JSF ;4.00 CCC 40,00-: CHS 3.00 LAF 5,00 WRNT 50.00 273.00' MCCORD, SEAN DAVID i TF ;4,00 JCSF 1,001 JPAY -'. 6 00 IDF 2,00 TPDF -I 2.00 Jail Credit, ',: OMNC ',:4.00 OMND 20.00'. OMNO ;'. 6.00 PINE 63.00 CSRV $ 63,00 375974 1701-0404 01-25-2017 EXEC 20.00 20.00 1, CADY, RUSSEL SCOTT I 375976 1607-0274 01-30-2017 JSF 4.00 CCC 40.00 CNS 3.00 LAF 5..00 WENT 50.00 273.00 HALL, JOHN B TF 4.00 JCSF 1.00 SPAY 6.00 IDF 2.00 TPDF 2.00 !, JANUARY 2017 RMSED Per Audit - Line Item adjustment 09-19-2017 Page 1 Money Distribution Report JPS, REVIBED JANVARY 2017 REPORT Type Code Description Count Retained Disbursed Money -Totals The following totals represent - Cash and Checks Collected COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY 7 28.00 252.00 280.00 COST IDF INDIGENT DEFENSE FUND 7 21.00 0.0 21.00 COST JCSF JUSTICE COURT SECORITY FUND - 7 1.40 12.660 14.00 COST JPAY JUDGE PAY RAISE FEE 7 7 00 7 0.00 7.00 COST JSF JUROR SERVICE FUND 7 4.20 37.80 42.00 COST LVF SHERIFF'S FSE 7 2.80 25.20 28.006 COST MVP MOVING VIOLATION FEE 30.00 0.00 30.00 COST OMNC DPS OMNI FEE - COUNTY 4 0.04 0.36 0.403 COST OMND DPS OMNI FEE - DPB 12.00 0.00 12,00 COST OMNO DPS OMNI RES - OMNIBASE 3 0.00 60.00 60.00 COST SAF DPS 3 0.00 18.00 18.00 COST SUBC SEH TITLE C 1 4.00 1.00 5.004 COST TF TECHNOLOGY FUND 120.00 0.00 120.00 COST TFC TFC 7 28.00 0.00 28.00 COST TIME TIME PAYMENT FSE 4 12.00 0. 0O 12.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 0 0.00 0.00 0.00 COST WRNT WARRANT FEE 7 0.00 14.00 14.00 FEES CSRV COLLECTION SERVICES FEE 2 100.00 0.00 100.003 FEES DDC DRIVER SAFETY COURSE - 2013 224.10 0.00 224.0 FEES EXRF EXPIRATION RENEWAL PGE 3 29.70 0.00 29.770 FINE FINE FINE 1 20.00 0,00 20.00 - 4 585.90 0.00 585.90 Money Totals 8 1,230.14 920.96 1,651.10 The following totals represent - Transfers Collected COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY 0 0.00 0.00 0.00 COST IDF INDIGENT DEFENSE FUND 0 0.00 0.00 0.000 COST JCSF JUSTICE COURT SECURITY FUND 0.00 0.00 0.00 COST JPAY JUDGE PAY RAISE FEE 0 o.oD o.oD 0.000 COST JSF JUROR SERVICE FUND 0.00 0.00 0.00 COST LAE' SHERIFF'S FEE 0 0.00 0.00 0.00 COST MVF MOVING VIOLATION FEE 0 0.00 0.00 0.000 COST OMNC DPS OMNI FEE - COUNTY 0.00 0.00 0.00 COST OMND0 DPS OMNI FEE - DPS 0.00 0.00 0.00 COST OMNOO DPS OMNI FEE - OMNIBASE 0 0.00 . 000 0.00 COST SAF DPS 0 0.00 0.00 0.00 COST SUBSUB TITLE C 0 0.00 0.00 0.00C COST TF TECHNOLOGY FUND 0 0.00 0.00 0.00 COST TFC TPC 0 0.00 0.00 0.00 COST TIME TIME PAYMENT FES 0 0.00 0.00 0.000 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 0.00 0.00 0.00 COST WENT WARRANT FEE 0 0.00 0.00 0.00 FEES CSRV COLLECTION SEFEE 0 0.00 0.00 0.00RVICES FEES DDC DRIVER SAFETY COURSE - 2013 0 0.00 0.00 0.00 FESS EXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.000 FINE FINE FINE 0.00 0.00 0.00 0 0.00 0.00 0.00 Transfer Totals 0 0.00 0.00 0.00 The following totals represent - Jail Credit and Community Service COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY 6 24.00 216.00 240.00 COST IDF INDIGENT DEFENSE FUND 6 18.00 0.00 18.00 COST JCSF JUSTICE COURT SECURITY FUND 6 1.20 10.80 12.00 COST JPAY JUDGE PAY RAISE FEE 6 6.00 0.00 6.00 COST JSF JUROR SERVICE FUND 6 3.60 32.40 36.00 COST LAP SHERIFF'S FEE 6 2.40 21.60 24.00 COST MVP MOVING VIOLATION FEE 6 30.00 0.00 30.00 COST OMNC DPS OMNI FEE - COUNTY 1 0.01 0.09 0.10 COST OMND DPS OMNI FEE - DPS 7 28.00 0.00 28.007 COST OMNO DPS OMNI FEE - OMNIBASE 0.00 140.00 140.00 OST SAF DPS 7 0.00 42.00 42.00 ]OST SUBC SUB TITLE C 0.00 0.00 0.00 :OST TF TECHNOLOGY FUND 0 0.00 0.00 0.006 24.00 0.00 29.00 )9-19-2017 Page 2 Money Distribution Report JPS, REVISED JANUARY 2017 REPORT Type Code Description Count Retained Disbursed Money -Totals COST TFC TFC COST TIME TIME PAYMENT FEE 0 0.00 0.00 0.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 2 6 25.00 25.00 50.00 COST WENT WARRANT FEE 0.00 12.00 12.00 FEES CSRV COLLECTION SERVICES FEE 7 350.00 0.00 350.00 FEES DDC DRIVER SAFETY COURSE - 2013 7 0 684.00 0.00 684.00 FEES EXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00 FINE FINE FINE 0.00 0.00 0.00 7 1,267.90 0.00 1,267.90 Credit Totals 7 2,464.11 499.89 2,964.00 The following totals represent - Credit Card Payments COST CCC CONSOLIDATED COURT COSTS 1 COST CHS COURTHOUSE SECURITY 4.00 36.00 40.00 COST IDF INDIGENT DEFENSE FUND - 1 1 3.00 0.00 3.00 COST JCSF JUSTICE COURT SECURITY FUND 1 0.20 1.80 2.00 COST JPAY JUDGE PAY RAISE FEE 1.00 0.00 1.00 COST JSF JUROR SERVICE FUND 1 1 0.60 5.40 6.00 COST LAP SHERIFF'S FEE 0.40 3.60 4.00 COST MVP MOVING VIOLATION FEE 1 5.00 0.00 5.00 COST OMNC DPS OMNI FEE - COUNTY 1 0.01 0.09 0.10 COST OMNI) DPS OMNI FEE - DPS 0 0.00 0.00 0.00 COST OMNO DPS OMNI FEE - OMNIBASE 0 0 0.00 0.00 0.00 COST SAP DPS 0.00 0.00 0.00 COST SUBC SUB TITLE C 0 0.00 0.00 0.00 COST TF TECHNOLOGY FUND 1 30.00 0.00 30.00 COST TFC TFC 1 4.00 0.00 4.00 COST TIME TIME PAYMENT FEE 1 3.00 0.00 3.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 0 1 0.00 0.00 0.00 COST WENT WARRANT FEE 0.00 2.00 2.00 FEES CSRV COLLECTION SERVICES FEE 0 0.00 0.00 0.00 FEES DDC DRIVER SAFETY COURSE - 2013 0 0 0.00 0.00 0.00 FEES EXRF EXPIRATION RENEWAL FEE 0.00 0.00 0.00 FINE FINE FINE 0 0.00 0.00 0.00 1 69.90 0.00 69.90 Credit Card Totals 1 121.11 48.89 170.00 The following totals represent - Combined Money COST CCC CONSOLIDATED COURT COSTS 8 COST CHS COURTHOUSE SECURITY 32.00 288.00 320.00 COST IDF INDIGENT DEFENSE FUND B 24.00 0.00 24.00 COST JCSF JUSTICE COURT SECURITY FUND 8 8 1.60 14.40 16.00 COST SPAY JUDGE PAY RAISE FEE 8.00 0.00 - 8.00 COST JSF JUROR SERVICE FUND 8 4.80 43.20 48.00 COST LAP SHERIFF'S FEE 8 3.20 28.80 32.00 COST MVF MOVING VIOLATION FEE 7 35.00 0.00 35.00 COST OMNC DPS OMNI FEE - COUNTY 5 0.05 0.45 0.50 COST OMND DPS OMNI FEE - DPS 3 12.00 0.00 12.00 COST OMNO DPS OMNI FEE - OMNIBASB 3 0.00 60.00 60.00 COST SAF CPS 3 0.00 18.00 18.00 COST SUBC SUB TITLE C 1 4.00 1.00 5.00 COST TF TECHNOLOGY FUND 5 150.00 0.00 150.00 COST TFC TFC 8 32.00 0.00 32.00 COST TIME TIME PAYMENT FEE 5 15.00 0.00 15.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 0 8 0.00 0.00 0.00 COST WANT WARRANT PER 0.00 16.00 16.00 FEES CSRV COLLECTION SERVICES FEE 2 3 100.00 0.00 100.00 FEES CDC DRIVER SAFETY COURSE - 2013 3 224.10 0.00 224.10 FEES EXRF EXPIRATION RENEWAL FEE 1 29.70 0.00 29.70 FINE FINE FINE 20.00 0.00 20.00 5 655.80 0.00 655.80 Money Totals 9 1,351.25 469.85 1,821.10 The following totals represent - Combined Money and Credits COST CCC CONSOLIDATED COURT COSTS 14 56.00 COST CHS COURTHOUSE SECURITY 14 504.00 560.00 COST IDF INDIGENT DEFENSE FUND 14 42.00 0.00 42.00 COST JCSF JUSTICE COURT SECURITY FUND 14 2.80 25.20 28.00 14.00 0.00 14.00 09-19-2017 Page 3 Money Distribution Report 09-19-2017 Page 4 JP5, REVISED JANUARY 2017 REPORT Type Code Description Count Retained Disbursed Money -Totals COST JPAY JUDGE PAY RAISE FEE 14 8.40 75.60 84.00 COST JSF JUROR SERVICE FUND 14 5.60 50.40 56.00 COST LAF SHERIFF'S FEE 13 65.00 0.00 65.00 COST MVF MOVING VIOLATION FEE 6 0.06 COST OMNC DPS OMNI FEE - COUNTY 10 40.00 0.54 0.00 0.60 COST OMND DPS OMNI FEE - DPS 10 0.00 200.00 40.00 COST OMNO DPS OMNI FEE - OMNISASE 10 200.00 COST SAF DPS 0.00 60.00 60.00 1 4.00 1.00 5.00 COST SUBC SUB TITLE C 5 150.00 0.00 150.00 COST IF TECHNOLOGY FUND 14 56.00 0.00 COST TFC TFC 5 15.00 0.00 56.00 COST TIME TIME PAYMENT FEE 2 15.00 25.00 25.00 50.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 14 0.00 28.00 COST WENT WARRANT FEE 28.00 9 450.00 0.00 450.00 FEES CSRV COLLECTION SERVICES FEE 10 908.10 FEES DDC DRIVER SAFETY COURSE - 2013 3 0.00 900.10 FEES EXRF EXPIRATION RENEWAL FEE 1 29.70 0.00 29.70 20.00 0.00 20.00 FINE FINE FINE 12 1,923.70 0.00 1,923.70 Report Totals 16 31815.36 969.74 4,785.10 09-19-2017 Page 4 Money Distribution Report us -is -s u17 _. Page 5 JPS, REVISED JANUARY 2017 REPORT Date Payment Type Fines Court Costs Fees Bonds Restitution Other Total 00-00-0000 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1991 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1993 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 09-01-1995 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 0.00 0.00 0'.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1997 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1999 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-2001 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-2003 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 01-01-2004 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 585.90 1,267.90 69.90 1,923.70 791.40 1,012.10 100.10 1,903.60 273.80 684.00 0.00 957.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1,651.10 2,964.00 170.00 4,785.10 TOTALS Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 585.90 1,267.90 69.90 1,923.70 791.40 1,012.10 100.10 11903.60 273.80 684.00 0.00 957.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1,651.10 2,964.00 170.00 4,785.10 us -is -s u17 _. Page 5 Money Distribution Report THE STATE OF TEXAS Before me, the undersigned authority, this day County of Calhoun County personally appeared Nancy Pomykal, Justice of the Peace, Precinct No 5, Calhoun County, Texas, who being duly sworn, deposes and says that the above and foregoing report/is true and correct. Witness my hand this 1_��y of D. Justice of tO Peaoe, Pre ct No Calhoun County, Texas JPS, REVISED JANUARY 2017 REPORT Count Collected Retained Disbursed Description State of Texas Quarterly Reporting Totals State Comptroller Cost and Fees Report Section I: Report for Offenses Committed ' 01-01-04 Forward 13 470.00 182.00 288.00 09-01-01 - 12-31-03 0 0.00 0.00 0.00 08-31-99 - 08-31-01 0 0.00 0.00 0.00 09-01-97 - 08-30-99 0 0.00 0.00 0.00 09-01-91 - 08-31-97 0 0.00 0.00 0.00 Bail Bond Fee 0 0.00 0.00 0.00 DNA Testing Fee - Convictions 0 0.00 0.00 0.00 DNA Testing Fee - Comm Supvn 0 0.00 0.00 0.00 DNA Testing Fee - Juvenile 0 0.00 0.00 0.00 EMS Trauma Fund (EMS) 0 0.00 0.00 0.00 Juvenile Probation Diversion Fees 0 0.00 0.00 0.00 Jury Reimbursement Fee 8 32.00 3.20 28.80 Indigent Defense Fund 8 16.00 1.60 14.40 Moving Violation Fees 5 0.50 0.05 0.45 State Traffic Fine 0 0.00 0.00 0.00 Section II: As Applicable Peace Officer Fees 1 5.00 4.00 1.00 Failure to Appear/Pay Fees 3 60.00 0.00 60.00 Judicial. Fund - Const County Court 0 0.00 0.00 0.00 Judicial Fund - Statutory County Court 0 0.00 0.00 0.00 Motor Carrier Weight Violations 0 0.00 0.00 0.00 Time Payment Fees 0 0.00 0.00 0.00 Driving Record Fee 0 0.00 0.00 0.00 Judicial Support Fee 8 48.00 4.80 43.20 Truancy Prevention and Diversion Fund 0 0.00 0.00 0.00 Report Sub Total 46 631.50 195.65 435.85 State Comptroller Civil Fees Report CF: Birth Certificate Fees 0 0.00 0.00 0.00 CF: Marriage License Fees 0 0.00 0.00 0.00 CF: Declaration of Informal Marriage 0 0.00 0.00 0.00 CF: Nondisclosure Fees 0 0.00 0.00 0.00 CF: Juror Donations 0 0.00 0.00 0.00 CF: Justice Court Indig Filing Fees 0 0.00 0.00 0.00 CF: Stat Prob Court Indig Filing Fees 0 0.00 0.00 0.00 CF: Stat Prob Court Judic Filing Fees 0 0.00 0.00 0.00 CF: Stat Cnty Court Indig Filing Fees 0 0.00 0.00 0.00 CF: Stat Cnty Court Judic Filing Fees 0 0.00 0.00 0.00 CF: Cost Cnty Court Indig Filing Fees 0 0.00 0.00 0.00 CF: Cnst Cnty Court Judic Filing Fees 0 0.00 0.00 0.00 CF: Dist Court Divorce & Family Law 0 0.00 0.00 0.00 CF: Dist Court Other Divorce/Family Law 0 0.00 0.00 0.00 CF: Dist Court Indig Legal Services 0 0.00 0.00 0.00 CF: Judicial Support Fee 0 0.00 0.00 0.00 Report Sub Total 0 0.00 0.00 0.00 Total Due For This Period 46 631.50 195.65 435.85 THE STATE OF TEXAS Before me, the undersigned authority, this day County of Calhoun County personally appeared Nancy Pomykal, Justice of the Peace, Precinct No 5, Calhoun County, Texas, who being duly sworn, deposes and says that the above and foregoing report/is true and correct. Witness my hand this 1_��y of D. Justice of tO Peaoe, Pre ct No Calhoun County, Texas Calhoun County Floodplain Administration 211 South Ann Street, Suite 301 Port Lavaca, TL 77979-4249 Phone: 361-553-4455/Fax: 361-553-4444 e-mail: mary.orta@calhouncotx.org September 2017 Development Permits New Homes -5 Renovations -1 Mobile Homes -2 Boat Barns/Storage Buildings/Garages-4 Commercial Buildings -0 Total Fees Collected: $720.00 I Calhoun County Conunissioners' Court — October 12, 2017 20. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 19) To accept donations to Calhoun County NO ACTION Page 18 of 28 I Calhoun County Commissioners' Court —October 12, 2017 21. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 20) To declare a 1997 Chevy Truck (without flatbed), Inventory number 541- 0053, SNSGBKC34J4VJ103223 in the EMS Department as Surplus/Salvage and remove from Inventory. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Kenneth Finster, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 19 of 28 Susan Riley From: Dustin.Jenkins@calhouncotx.org -- Dustin Jenkins<Dustin.Jenkins@calhouncotx.org> Sent: Monday, September 25, 2017 10:07 AM To: susan riley Subject: 1997 Truck Salvage & Flatbed County Transfer Requests Attachments: 1997 Chevy Truck _Surplus-Salvage_Request.pdf; Flatbed Transfer Request—Form—reader ext.pdt EMS Truck & Flatbed_Screenshot.docx Susan, I am not exactly confident that I have filled these forms out correctly due to the fact that these are listed as one asset in the County. As of now, the flatbed is mounted on this truck. The same inventory number and serial numbers are entered on both requests due to this problem of them being the "same asset'. Please let me know if this is the appropriate means whereby we should make this departmental transfer and salvage. Thanks, Dustin J. Dustin Jenkins, D.MIN, MBA, LP Director of EMS 705 Henry Barber Way Calhoun County, TX dustin.jenkins@calhouncotx.org (361) 571-0014 Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: Calhoun County EMs Requested By: Inventory Reason for Surplus/Salvage Number Description Serial No. Declaration 541-0053 1997 Chevy Truck (without Flatbed) 1 GBKC34J4VJ103223 Truck is unusable & not worth maintenance time/cost I.OMSET Z i11h YRI1Sf.HAS AS AI.1tlI1�.CEA49C SiSf�11 R\i BFll Q1I0 CIfEVY CI+A99510 Gq um l ♦.r � tI I.OMSET Z i11h YRI1Sf.HAS AS AI.1tlI1�.CEA49C SiSf�11 R\i BFll Q1I0 CIfEVY CI+A99510 Gq I Calhoun County Commissioners' Court— October 12, 2017 22. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 21) On the matter of declaring certain items of County property as surplus/salvage. NO ACTION Page 20 of 28 Calhoun County Commissioners' Court — October 12, 2017 23. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 22) To transfer a 12' Flat Bed only (no truck) Inventory no. 541-0053, SNlGBKC3434VJ103223 from the EMS Department to Precinct 1. (DH) RESULT: APPROVED [UNANIMOUS] MOVER: Kenneth Finster, Commissioner Pet 4 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 21 of 28 Susan Riley From: Dustin.Jenkins@calhouncotx.org -- Dustin Jenkins <Dustin.Jenkins@calhouncotx.org> Sent: Monday, September 25, 2017 10:07 AM To: susan riley Subject: 1997 Truck Salvage & Flatbed County Transfer Requests Attachments: 1997 Chevy Truck_Surplus-Salvage_Request.pdf; Flatbed Transfer Request_Form_reader ext.pdf; EMS Truck & Flatbed_ Screenshot.docx Susan, I am not exactly confident that I have filled these forms out correctly due to the fact that these are listed as one asset in the County. As of now, the flatbed is mounted on this truck. The same inventory number and serial numbers are entered on both requests due to this problem of them being the "same asset'. Please let me know if this is the appropriate means whereby we should make this departmental transfer and salvage. Thanks, Dustin J. Dustin Jenkins, D.MIN, MBA, LP Director of EMS 705 Henry Barber Way Calhoun County, TX dustin.jenkins@calhouncotx.org (361) 571-0014 1� �441 Q .. 1411- Calhoun County, Texas DEPARTMENTAL INVENTORY TRANSFER REQUEST FORM Requested By: Inventory Number Description Serial No. Transfer From/To Department 541-0053 12' Flat Bed onl No Truck 1GBKC34J4VJ103223 From CCEMS to Pct. 1 Calhoun County Commissioners' Court — October 12, 2017 24. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 23) To transfer inventory from the Waste Management fixed assets to the Road & Bridge, Pct 2 fixed assets inventory (See List) (VL) RESULT: MOVER: SECONDER: AYES: APPROVED [UNANIMOUS] David Hall, Commissioner Pet 1 Clyde Syma, Commissioner Pct 3 Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 22 of 28 Vern L Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 October 4, 2017 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: (361) 552-9656 Fax (361) 553-6664 Please place the following item on the Commissioners' Court Agenda for October 12, 2017 • Consider and take necessary to transfer inventory from the Waste Management fixed assets to the Road & Bridge, Pct. 2 fixed assets inventory (see attached list). Sincerely, Vern Lyssy Commissioner, Pct. 2 VL/Ij Calhoun County, Texas DEPARTMENTAL TRANSFER REQUEST FORM Requested By: fflaI410 ,1#4 K14111sTj , AA) 0 i Calhoun County Commissioners' Court — October 12, 2017 25. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO, 24) On matter of transferring certain items of County property from one County department to another County department. (See List) NO ACTION Page 23 of 28 I Calhomi County Commissioners' Court — October 12, 2017 26. APPROVAL OF PAYROLL (AGENDA ITEM NO. 25) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 24 of 28 IWMAY1711111j[�� Payroll through 09-08-2017 $ 346,718.03 Payroll throulrh 09-22-2017 $ 431,836.31 APPROVED TOTAL PAYROLL $ 778,554.34 The items listed above have been pre -approved by all Department Heads and I certify that funds were available to pay the obligations. I certify that the above is true and correct to the best of my knowledge October 9, 2017. � C EA P p � "" ""` RHONDA S. KOKENA, CALHOUN COUNTY TREASURER CMAMISSIONERS COURT ACCEPTED AND APPROVED THIS THE 12 DAY OF DC`C9w-" , 2017 IN THE CALHOUN COUNTY COMMISSIONERS' COURT, PORT LAVACA, TEXAS 77979. I Calhoun County Commissioners' Court — October 12, 2017 27. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 26) On any necessary budget adjustments. RESULT: APPROVED [UNANIMOUS] MOVER: Kenneth Finster, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 25 of 28 Z LL J Z Z Z 0 0 z 1- z W a a W � W W W J i O K LUz LOW 0 F. m L a LU a. .a ;O LLI :V :z g 2 W 0 z W X W Iz W 0 0 0 r lu W U) W z lu W r W N w z w a w W w O z ? v 6 K W 0 0 W J a a J 0 n 0 z 1- z W a W D R m s e 0 0 0 W Wy F9 fA fli Z Q co 0 0 6 VWJ d'�1 m rn O a z z z z v F -ma U) 0000 L+.ae z R m s e 0 0 0 W Wy F9 fA fli Z Q U) J m Z Q � 7 � m Q 0 W W O z W 0 0 =oma �a a0zw W K K � F a aa D K LU w O D d' d' w I = o v o m a co co r t� J 0 O W z z z w z z z s J rn m 0 d a Im I a z z z z U) 0000 z 0 o �mmmm V � rn rn rn rn a U) J m Z Q � 7 � m Q 0 W W O z W 0 0 =oma �a a0zw W K K � F a aa D K LU w O D d' d' w I = o v o m a co co r t� J 0 O W z z z w z z z s J rn m 0 d a Im I \ LL % 7 Q) LU } k LL .§ ;o .z !I - ;z �§ :IL :§ ��2®§ �§§&z §■�a® =■e 21 21 al / ) :( ;a :z ;z :§ :2 :§ § 21 2) ■ 12 � ( § _ ) § B lu�&&2 �(\$ ©%k 0 y2/ § � )§2± § ; q 2 LU § z ■ d �\\ k Ln 2 e m\ \\/ k § § A °e k �\\) 21 21 al / ) :( ;a :z ;z :§ :2 :§ § 21 2) ■ 12 ;k :0 :z F. ;z :§ :« :& :0 �§e §k mu rl kLu Z _\ \ 21 / / S § 0 z z § � « § k k « k B 21 \) k� 21 ;§ :a :z ;z :§ :« )& i0 k k :\ z § :( § :o . :w 2 :z k B :L k w :§ k w x :§ % lu ■ Z U- -j LLIZ iLl0 Lij C Z Z LL fA' �IM z 0 0 NWS w w U 0 z I w v o w W C w U) H 0 W co W OU m LU amJ J W 7 F Q Q Z J a 0 0 F D 0 0 U U D) a O 'W W Q e� z z 00 z O z z w a o U W z U w Q U 0 O co v. 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Oi W O C W 6J O V O OJ c p J =Z Z _Z W 0 0 0 0 0 W � ff3 fA fA fA fR 0 fA 0 fH =W = C V CL CL W = W 0 0 0 0 0 f13 fA fPr ffi fA W 0 19 0 M y¢.,� a Lu 2 � V W Z W H W O O = 1. a. z LLI F-- 2 V z z z 2 a = W4a o 7a OOOOOQ F W_ O i W F C' o z :F y , Yom. W �rnrnrnrnrn �rnrnrnrnrn e� W a iL :W .Z iD => Lu U U U U =� p Q a a a a a z a a a a a =W w a Z o ¢5g5Fg _z n F- a 00000 =F N �� Q � J J J J J Q Q Q Q Q Z 2 FF -F- .W U U U U 'F Z W C-) =F` i z N =C N :C Lui ZLu LU iLu Z` C r r �p m :z _ e ;z ■ - :a :LLI k a ■ _ _ \ ( ® • • 2 R R e ))\ CM [ w GSSG& � - ) \(\(/(§ 000000 ) $ 2 zzzzzz% § § £ ) § LULLI 8 LU § .z Lu Of\\\\ ;> > _ LU U) Bj}j\\§ )a z =j§j\§2 --ggg% \\\\\Z �) § &LU |« § : k )� § ©\\}}\( I Calhoun County Commissioners' Court — October 12, 2017 28. APPROVAL OF BILLS (AGENDA ITEM NO. 27) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 26 of 28 October 12, 2017 2017 APPROVAL LIST - 2017 BUDGET $ 385.97 49 COMMISSIONERS COURT MEETING OF 10/12/17 A/P $ BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 48 A/P $ $413,214.32 FICA P/R $ 121,242.02 MEDICARE P/R $ 28,355.16 FWH P/R $ 113,522.44 NATIONWIDE RETIREMENT SOLUTIONS P/R $ 5,931.96 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 2,727.89 TEXAS COUNTY & DISTRICT RETIREMENT SYSTEM P/R $ 201,006.03 TMPA P/R $ 280.00 TRUSTMARK P/R $ 2,985.86 UNITED WAY OF CALHOUN COUNTY P/R $ 10.00 WILLIAM E. HEITKAMP, TRUSTEE P/R $ 660.74 AT&T MOBILITY A/P $ 2,977.89 CABLE ONE A/P $ 9.52 CARDMEMBER SERVICE - SHERIFF/JAIL A/P $ 3,590.86 CENTERPOINT ENERGY A/P $ 84.08 CITY OF POINT COMFORT A/P $ 83.42 CITY OF PORT LAVACA A/P $ 8,968.40 CITY OF SEADRIFT A/P $ 200.35 FRONTIER COMMUNICATIONS A/P $ 1,956.02 GBRA GREAT AMERICAN LEASING JACKSON ELECTRIC COOP, INC. LA WARD TELEPHONE EXC. INC. MASA MCI COMM SERVICE QUILL REPUBLIC SERVICES #847 SPRINT TAC - TEXAS ASSOCIATION OF COUNTIES TISD, INC VICTORIA ELECTRIC CO-OP WASTE MANAGEMENT A/P $ 385.97 A/P $ 175.00 A/P $ 408.05 A/P $ 381.92 A/P $ 1,071.00 A/P $ 326.42 A/P $ 18.07 A/P $ 1,047.02 A/P $ 36.19 A/P $ 4,446.69 A/P $ 166.15 A/P $ 2,668.06 A/P $ 1,201.80 TOTAL VENDOR DISBURSEMENTS: $ 920,139.30 COUNTYCALHOUN TOTAL r52,330.18 TOTAL AMOUNT FOR APPROVAL: $ 972,469.48 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ----- October 12, 2017 PAYABLES AND PAYROLL 8/1/2017 Patient Refunds 5,661.86 8/1/2017 Weekly Payables 408,404.23 8/1/2017 Weekly Payables 2,232.91 8/7/2017 McKesson Drugs 2,451.97 8/7/2017 Payroll 250,653.05 8/7/2017 Payroll by Check 1,053.87 8/8/2017 Patient Refunds 77.22 8/10/2017 Payroll Liabilities 91,097.17 8/10/2017 Weekly Payables 368,856.45 8/14/2017 McKesson Drugs 5,932.12 8/15/2017 Weekly Payables 199,642.17 8/15/2017 TDCRS 113,831.24 8/17/2017 Credit Card Invoice 5,996.37 8/18/2017 Returned Check Charge 12.00 8/18/2017 Returned Check 80.00 8/21/2017 Payroll by Check 1,659.19 8/21/2017 Payroll 253,346.48 8/21/2017 McKesson Drugs 2,885.99 8/22/2017 Transfer to Cal Co Indigent Acct to cover O/S Checks 820.46 8/22/2017 Payment to Calhoun County-MPAP Loan 2,550,665.00 8/24/2017 Payroll Liabilities 92,174.48 8/28/2017 Returned Charge 12.00 8/30/2017 McKesson Drugs 2,799.07 8/31/2017 Monthly Electronic Transfers for Payroll Expenses(not inti above) 213.81 8/31/2017 Monthly Electronic Transfers for Operating Expenses 6,869.43 Total Payables and Payroll INTER -GOVERNMENT TRANSFERS Total Inter -Government Transfers INTRA -ACCOUNT TRANSFERS Total Intra -Account Transfers $ 4,367,428.54 SUBTOTAL MEMORIAL MEDICAL CENTER DISBURSEMENTS $ 4,367,428.54' INDIGENT HEALTHCARE FUND EXPENSES $ 52,331.51 INDIGENT CHECK ORDERS CHARGE $ 35.34 NURSING HOME UPL EXPENSES FOR August 2017 $ 2,485,582.55 IGT August 2017 MPAP NH Program ' $ MMC Construction $ GRAND -TOTAL DISBURSEMENTS APPROVED October 12, 2017 $ $,905,377.94 From IBC Bank to Prosperity Bank Date Check# Name Amount 8/17/2017 172375 MMC Operating Account $ 4,275,075.63 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---- October 12, 2017 INDIGENT HEALTHCARE FUND: INDIGENT EXPENSES Adu Sports Medicine Clinic Clinical Pathology Labs Community Pathology Association MMCenter (In-patient $13,422.00 / Out-patient $22,946.78 / ER $5,134.65) MMCenter OP Clinic MMC Professional Fees Memorial Medical Clinic Port Lavaca Clinic Regional Employee Assistance Singleton Associates Victoria Eye Center SUBTOTAL Memorial Medical Center (Indigent Healthcare Payroll and Expenses) Co -pays adjustments for August 2017 Reimbursement from Medicaid 322.08 70.97 9.09 41,503.43 46.73 1,358.45 3,765.43 786.80 666.13 66.83 268.90 48,864.84 4,166.67 Subtotal 53,031.51 (700.00) 0.00 Calhoun County Commissioners' Court— October 12, 2017 29. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 28) On single source, emergency and public welfare purchases and bills. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Kenneth Finster, Commissioner Pet 4 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 27 of 28 I s P q M N P O O N Vl M wd H� rn¢ q c�P] q Z3 da 2rFii� F5i51 Zti o OC%�7 N'ran O W � �°O � � c �•%, J' o W �� W N� >+� �.N-. >+v �' �'+ �, H wq w wV E3 S N b O O O O o b W Q zJ vl N r O o P z z z z z z a o r w o r, o w 0 wa 0 0 0 o q oo 0 0 0 �F a 0 0 O F z O U 0 0 U o z o q� g �o a H o a o x x 0 0 d aa°� 0 >5C, w pa v d o 0 0 o N o 0 0 0 0 0 0 0 0 0 0 U N vMi b �O b vI vMi ,n vt v1 ,Mi, vt vt b U U 0 ID U U O d' O Q O d ti vi rn O V V a U c4 w O O O O O +m j WW [G+1 F F F F F OU O OV Czw7 CW7 x a a a a O OU w 0 n o F a q - 5 5 5 5 5 5 a ZQ Z2 a z z z z H q w w w w w w a a a a a a a a a a a 0 v U rn m rn rn 0 o m N m N M N Q a � � x ti Wa b b p z E"V g z H^„C F`' C) 0 Hx H� ACL, F'.�F� U m iQ 0 N N O rn rZ w •-• \ T P a o 10 W ^ QC P z V] N M N N N N N N N N N N N N p� 0 O N � r � r WWW^ . � . � . � . � r � r � r � . 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Q Q Q Q Q Q o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Q z z z z z z z z z z z z z z z A O d O O M N d N U 0 0 o v M O O b N l� M N - V P Y Q >� C � rOii N N(y y O O w a U [4 Q N 04' N{ 3aJ FIor ry X Q o{aI] z (a{7 Ll Uli '.`� 6 qq WXW m ( V 4 V QP Ud OV VOUF V n N O C W p O O O O L ti r r r r M Fi Q z O a O O � K�Zjy i R h W w �N/1 W h W a 0 0 v. N a0 rn a � o U v c v o 0 v c v a v o a F ci a Q W zV Q w w w z az az az a ,, ;D o, a s F z z z z z w z Q Q Q A Q Q o °z 0 zz °z zz z m x A Susan Riley From: Dustin.Jenkins@calhouncotx.org -- Dustin Jenkins <Dustin.Jenkins@calhouncotx.org> Sent: Tuesday, October 10, 2017 3:20 PM To: Cindy Mueller; Rhonda Kokena; Susan Riley; David Hall; Judge Michael Pfeifer Subject: Fwd: RE: WPI -SA - Calhoun County - Communication Generator Replacement - Turnkey Attachments: WPI Credit Ap - Bonding Document 4-30-15 .pdf; blank -Texas Sales and Use Tax Exemption Certification.pdf; nK8420-RG022.pdf; W PI-22kw-Calhoun County.pdf I am writing to inform and inquiry regarding the purchase of a new generator for the repeater tower. From what I can gather, the new generator is an emergency item as well as a single source item. The quote came in late Monday 10/9/17 and to meet the 10/10/17 deadline for the FEMA 90/10 reimbursement we told WPI to get going on this project via email. The next step will be to start an account with WPI, which I believe takes the courts approval. Agenda item #28 is a single source agenda item, would it be possible to put this matter under that item? I have attached the generator quote, a diagram, a credit application, and a tax form from WPI for your convenience. Thank you, J. Dustin Jenkins Director of EMS Calhoun County, TEXAS -----Original Message ----- From: "Shon.Lopez@wpi.com -- Shon Lopez" <Shon.Lopez@wpi.com> To: 'Dustin Jenkins'<Dustin.Jenkins@calhouncotx.org> Cc: david.hall@calhouncotx.org, 'Kay Harper' <harpek@wpi.com>, 'Karron Gonzalez' <karron.gonzalez@wpi.com>, Tameika Estes <tameika.estes@wpi.com>, 'Nathan Parker' <parker@wpi.com> Date: Mon, 9 Oct 2017 17:06:54 -0500 Subject: RE: WPI -SA - Calhoun County - Communication Generator Replacement - Turnkey Dustin, Great! Please have the quote signed on the first page. Or if you use PO please send that to me to get processed. Per our conversation, in order to get a jump on the order. Attached you'll find our account application for you to pass on to the appropriate person. Please have this form filled out and returned as soon as possible. Please feel free to call to discuss any questions regarding the account setup or method of payment. I have copied my credit department in this email. Please copy all your response. Best regards, Shon Lopez New Unit Sales - South Central Texas Standby Power Products Office: 210.304.5428 Cell: 210.862.3040 WPI — Powered by Solutions rm www.wpi.com From: Dustin Jenkins[mailto:Dustin.Jenkins@calhouncotx.org] Sent: Monday, October 09, 2017 5:02 PM To: Shon Lopez <shon.lopez@wpi.com> Cc: david.hall@calhouncotx.org Subject: Re: WPI -SA - Calhoun County - Communication Generator Replacement -Turnkey Shon, I have looked over the quote for this turnkey generator replacement/installation and have discussed it with Commissioner Hall. You have the "go ahead" to get started on this project. Thank you J. Dustin Jenkins, DMin, MBA, LP Director of EMS Calhoun County, TX (361) 571-0014 -----Original Message ----- From: "Shon.Lopezgwpi.com -- Shon Lopez" <Shon.Lopez@wpi.com> To: dustin.jenkins@calhouncotx.org Date: Mon, 9 Oct 2017 16:42:03 -0500 Subject: WPI -SA - Calhoun County - Communication Generator Replacement - Turnkey Dustin, Please see our quote attached for the turnkey generator replacement and installation at the Calhoun County communications site. Feel free to call me with any questions. Best regards, Shon Lopez New Unit Sales - South Central Texas Standby Power Products Office: 210.304.5428 Cell: 210.862.3040 WPI — Powered by Solutions Tu www.wpi.com CONFIDENTIALITY NOTICE The information in this email may be confidential and/or privileged. This email is intended to be reviewed by only the individual or organization named above. If you are not the intended recipient or an authorized representative of the intended recipient, you are hereby notified that any review, dissemination or copying of this email and its attachments, if any, or the information contained herein is prohibited. If you have received this email in error, please immediately notify the sender by return email and delete this email from your system. J. Dustin Jenkins, D.MIN, MBA, LP Director of EMS 705 Henry Barber Way Calhoun County, TX d usti n.lenkinsCcbcalhou ncotx.org (361) 571-0014 CONFIDENTIALITY NOTICE The information in this email may be confidential and/or privileged. This email is intended to be reviewed by only the individual or organization named above. If you are not the intended recipient or an authorized representative of the intended recipient, you are hereby notified that any r eview, dissemination or copying of this email and its attachments, if any, or the information contained herein is prohibited. If you have received this email in error, please immediately notify the sender by return email and delete this email from your system. J. Dustin Jenkins, D.MIN, MBA, LP Director of EMS 705 Henry Barber Way Calhoun County, TX dustin.jenkins@calhouncotx.org (361) 571-0014 FAD I A411 AQ Date: Monday, October 9, 2017 Company: Calhoun County, Port Lavaca, TX Attention: Dustin Jenkins Quote Number: 10092017 -01 -SL Reference: Calhoun County - Communication site The following quotation is per your request and is based upon your requirements. GENERAC GENERATOR - RG02224ANAX - 22kw - 240-1PH $ 42,522.00 TURNKEY INSTALLATION Quantity 1 - RG02224ANAX - Commercial Series: Generac Commercial Gas Series; 22 kW; Engine - 2.41,; Voltage - 120/240, single phase; Fuel Type - Natural Gas; Enclosure - Corrosion Resistant Aluminum; No Catalyst; Turnkey Scope of work: Inclusions: 1). Installation of 1- 20 KW N.G. (modifying new enclosure to fit) 2). Conduit and Wire to Existing 100A ATS and LV Panel for (charger and water heater) 3). 1" conduit for Comm. -link 4). Trenching and backfill for electrical work. 5). Build a New Stand for Gen Set 6). Re -install Wall Plenum for Radiator 7). Re -connect Gas Line 8). Re -install exhaust system 9). Sales Tax 10). Travel Time and Per -Dim 11). Disconnect existing Gen set and remove from site 12). MES Terms & Conditions Attachment "A" Exclusions: 1). Any and all Utility Company Charges. (Power, Telephone, Data, TV) 2). Painting electrical conduit, gear or furnishing/painting of Telephone plywood board. 3). Furnishing of Motor Starters or Variable Frequency Drives for HVAC equipt. 4). Performance and Payment Bond. 5). Rock Sawing, saw cutting, core drilling, x-raying of slabs if required 6). Cutting, blocking, patching and painting of concrete, asphalt, sheetrock or plaster 7). HVAC Temperature controls (conduit & wiring). 8). Spoil haul off. MES will stockpile spoils in one location on site 9). Sealing or Flashing of roof penetrations, including providing hoods, pitch pans/curbs or roof blocking for roof top equipment. 10). Layout, or pouring of formed concrete light bases, bollards or housekeeping pads. Ain* Waukesha -Pearce Industries 6450 North Loop 1604 East, San Antonio, TX 78247 Phone: 210-862-3040 - Fax: 210-653-5003 Ott, t€tart,=-i Exclusions Continued: 11). Furnishing of Tele/Data/Security/Access Controls cabling and equipment including installation. 12). Furnishing and installation of ceiling support wires for light fixtures (MES will tie installed wires to our fixtures) 13). NETA, Arch Fault/Flash Testing or coordination studies. 14). Furnish or installation of access hatches/panels. 15). Prevailing wage scale (Davis Bacon) 16). Trench Compaction (Density) testing. 17). Overhead Door Low Voltage wiring & conduit. (Safety Sensors, Push Buttons, Limit Switches.) 18). Low Voltage sleeves if not indicated on E or T Sheets 19). Line Voltage or Low Voltage and controls of Sprinkler System Exterior Water Gong 20). Handling or Disposing Hazardous Materials 21). Hot Work MES Safety policies do not allow for "hot work". If required Contractor shall schedule a mutual time and date to allow power outage work to be done. 22). Sound Attenuation Box Pads or Putty pads. 23). Elevator Changes required by State Inspector. We will install per Project Engineer Design Drawings and in conjunction with Elevator Supplied Shop Drawings Only. 24). Building Information Modeling cost (BIM) 25). No Fuel removal Quantity 1- Factory freight to jobsite (Assumes direct shipment) Quantity 1- Factory Start -Up & Warranty Registration Page 3 of 7 1'OWIER 0 BY SOLUTIONS NoV.(,/3/r.at16 Project Specific Clarifications: Waukesha -Pearce Industries 6450 North Loop 1604 East, San Antonio, TX 78247 Phone: 210-862-3040 — Fax: 210-653-5003 • This proposal is based on verbal specifications only. No other information was provided for consideration in this proposal. Compliance with any other specification section(s) or drawing(s) is specifically excluded including those incorporated by reference. • Offering equipment by Generac Power Systems • Offering manufacturers standard materials of construction. • Quotation is limited to the quantity and description listed above Standard Clarifications: • Sales Taxis NOT Included. • All Fuel to be provided by others. • Startup/commissioning must be done within 1 year initial shipping. • Responsibility of freight claims to be done by others. • jobsite Offloading/Setting is to be done by others. • Installation & External Wiring is to be done by others. • External Plumbing & Required Primary Gas Pressure Reducing Regulator by Others. • Assumes that all work will be done during Normal Business Hours (M -F 8-5) • Manufacturers' standard literature is available. • Manufacturers' standard factory & field testing is available. • This quotation is subject to WPI Terms & Conditions. • Quotation is valid for 30 days. Taxable customers are subject to 1.5% Diesel Surcharge Tax on diesel units 50 HP and up. Optional Remote Monitoring service for as low as $999.00 (includes Equipment, basic installation, activation and firstyears monitoring fee all done during your equipment startup). When you must rely on your investment, this service will remotely monitor your generator allowing for the highest level of reliability. Ask your sales rep for further details. Page 4 of 7 ('C?WER DBY SOLUTION Rev. 6/3/'Z040 A99V*% '� , Sfl: rtltt7tb'v Waukesha -Pearce Industries 6450 North Loop 1604 East, San Antonio, TX 78247 Phone: 210-862-3040 — Fax: 210-653-5003 Best Regards, Shon Lopez New Unit Sales Power Generation Products Waukesha -Pearce Industries Cell: 210-862-3040 Email: shon.lopez@wpi.com Page 5 of 7 POWERED B YL UTI€ NS R,p'�. 6 1312.016 Waukesha -Pearce Industries, Inc. (WPI) Standard Terms and Conditions of Sale t. Acceptance All quotations offered by WPI are subject to acceptance within thirty (30) days from the quoted date. 2. Payment Terms Subject to WPI Credit Department approval, WPI's payment terms are Net -30 Days from date of invoice. WPI does NOT allow for the buyer to withhold "Retainage" from final payment. In the event that WPI requires progress payments the following milestone achievements are: 3. Cancellation or Termination The Buyer, only upon payment of reasonable cancellation charges related to expenses already Incurred and/or commitments made by WPI, may cancel any order placed with WPI. Cancellation charges for Generac Power Systems equipment purchases are subject to the following charges: 8+ weeks prior to ship date................25% • 6.8 weeks prior to ship date...............40% 4.6 weeks prior to ship date. .... ..... 50% • 2.4 weeks prior to ship date...............76% At scheduled ship date ...................... 100% Product purchased with special engineering requirements or discontinued engines are subject to 100% cancellation charge. 4. Change Orders No alterations In specifications, either for total quantity, delivery, mechanical, electrical or other details may be made without written consent of WPI and readjustment of price and estimated delivery. Change order requests are subject to the following fees and based on factory shipping windows: • 4.6 weeks prior to ship date...............4% 2.3 weeks prior to ship date...............6% • Less than 2 weeks ............................No Changes Accepted Depending on the nature and timing of the changes requested, it may be necessary to reschedule production to a later date. 5. Taxes In addition to the prices stated in the quote, Buyer shall reimburse WPI for any excise, sales, diesel fuel surcharge or use tax Incident to this transaction for which WPI may be liable or compelled to collect. 6. Shipping Dates Any shipment date provided in the quote Is approximate and is estimated based on the advised lead-times provided by the manufacturer(s) of the equipment quoted. Upon receipt of a Purchase Order from Buyer, along with complete specifications and drawings approval, if required, and after receipt of WPI's Purchase Order to the manufacturer the estimated delivery will again be advised by the manufacturer to WPI and WPI will update Buyer on the new estimated delivery. WPI shall not be liable for any loss or damage for delay or non-delivery due to the acts of civil or military authority, acts of the Buyer or by reason of Force Majeure, which shall be deemed to mean all other causes whatsoever not reasonably within the control of WPI, Including, but not limited to Acts of God, war, riots or Insurrection, blockades, embargoes, sabotage, epidemics, fires, strikes, lockouts or other Industrial disturbances, delays of carriers, the inability to secure materials, labor shortages or manufacturing delays. Any delay resulting from any such cause shall extend shipping dates correspondingly. WPI shall in no event be liable for any special, direct or indirect or consequential damages arising from delay(s) Irrespective of the reason. 7. Shippino and Delivery Acceptance It Is the responsibility of the buyer or the buyer's representative to inspect all equipment at time of delivery for visible or concealed freight damage. Apparent and concealed damage must be noted on the driver's delivery ticket and subsequent freight claims must be completed and filed directly with the drayage company by the Buyer. In most cases, buyer has up to 30 days to file freight claims when damage Is noted with the freight carrier at time of delivery. In most cases, buyer has up to 5 days to file freight claims on damage found after equipment is delivered but not noted at time of delivery. WPI is NOT responsible for damages incurred to equipment during shipment nor Is responsible for filing freight claims on damaged equipment incurred in shipment. 8. Indemnity Page 6 of 7 POWERED B SOLUTION" Rev. 6/3/7t01�, Waukesha -Pearce Industries, Inc. (WPI) Standard Terms and Conditions of Sale To the extent allowed by Texas law, Buyer agrees that it will indemnify and hold harmless WPI, its officers, agents and employees, from and against any and all claims, fosses, damages, causes of action, sults and liabilities of every kind, Including all expenses of litigation, court costs and attorney's fees, forfeiture of an oil, gas or mineral lease, damage to a producing reservoir or lease operations of lost production, denied certificate of occupancy or "Green Tag" from the local "AHJ", arising out of, or In any way connected with the failure of, or the operation of the equipment sold by WPI, unless WPI is proven in court to be 100% solely negligent in its responsibilities. 9. Conseauential Damages and Other Charaes WPI will not be responsible or liable for any special, direct, Indirect or consequential damages or for any operational Interruptions or delays, production loss, or other damages or claims of whatever kind caused by or arising out of the fabrication, manufacture, sale, delivery, installation, use, breakage or performance of equipment sold or any part thereof, except only to the extent and in the manner set out in Item 12 below having to do with warranty. 10. Performance Guarantee Performance is subject to manufacturer's guarantees for horsepower and capacities and Is subject to de -rating for actual site conditions. 11. Comments and Exceptions When Buyer's specifications are attached to or referenced in an invitation to quote, WPI makes a thorough and sincere effort to review these and provide a quote based on WPI's Interpretation of the Buyer's specification. WPI's quote will clearly state what is included and what our Interpretation is of Buyer's requirements. It Is the Buyer's responsibility to review WPI's quote carefully and advise WPI of any discrepancies between Buyer's specification and WPI's quote. WPI's quote constitutes WPI's total offer and only those items; procedures, scope and content clearly stated in the quote are included and WPI makes no guarantee that the products quoted will meet the Buyer's specifications. 12. Warranty WPI warrants that the equipment of its own fabrication shall be free from defects in design, material, workmanship and title, under normal use, service, and operating conditions, for the period of one (1) year from date of start-up or commissioning or eighteen (18) months from date of shipment. WPI's exclusive remedy for breach of this warranty shall be repair or replacement of any defective parts packaged by WPI, F.O.B. Houston, Texas. Accessories or equipment furnished by WPI, but manufactured by others, shall carry that manufacturer's warranty, which will be passed -on to Buyer. WPI shall not be liable for any repairs, replacements, or adjustments to the equipment or any costs of labor performed by the Buyer or others without WPI's prior written approval. WPI will serve the Buyer by acting as Buyer's representative in regard to warranty claims for items not manufactured by WPI. However, warranty in all cases is limited to the manufacturers' warranty. Any parts) found to be defective will be replaced at no charge subject to each manufacturers' respective warranty policy, which WPI will administer. Any part(s) replaced that are not subsequently found to be defective bythe manufacturer will be charged to the Buyer. Warranty labor for replacement or repair is on site only. Buyer Is responsible for travel time, transportation and expenses to and from the closest WPI location, to the location of the subjected equipment. Should WPI travel to the location and find that the cause Is not warrantable, all expenses Incurred by WPI, to include travel and labor, will be billed to the Buyer at WPI's posted rates. WPI will not be responsible for crane, barge, or special transportation charges associated with warranty repairs. 13. Literature WPI will provide upon request, the manufacturers standard literature. This includes Spec Sheets, Bili of Materials, Drawings, Operation and Maintenance Manuals and/or Factory Test Reports. WPI takes exception to all specification requirements & requests for non-standard factory literature. 14. Hours of Operation This bid assumes all work will be done during normal business hours. Normal hours of operation for WPI are 8 am — 5 pm Monday -Friday. Any work performed outside of the normal operating hours will be billed at 1.5 times our current labor rate. 15. Start -Up When factory start-up services and field testing are included as part of a quoted package it is understood that the equipment will be made available by the buyer for WPI to perform the factory services within six (6) months of shipment. Additional charges may be required for factory services performed beyond the six (6) month window. Customer has one year (365 days) from the initial ship date of a Generac generator to be started up/commissioned and filed online via GENservice. Registration will then activate the warranty start date. If the product is not started up/commissioned within the first year of the ship date, the warranty start date will revert back to the Initial ship date. In addition, any product not started up In the first year must have the Long Term Preservation and Storage Procedure performed and the form completed. Forms must be submitted BEFORE the first year after the initial ship date has expired. - Page 7 of 7 POWERE-C) 13; '30LUT10A S R,w,6/3/M16 �1,, 01339 (Oath) •AL' „'�"„ (Rev. 9-07!0) TEXAS SALES AND USE TAX EXEMPTION CERTIFICATION Name of purchaser; firm or agency CALHOUN COUNTY Address (Street & number, P.O. Box or Route number) Phone (Area Code and number) 202 S ANN ST 361.5534610 city, state, ZIP code PORT LAVACA TX 77979 I, the purchaser named above, claim an exemption from payment of sales and use taxes (for the purchase of taxable Items described below or on the attached order or invoice) from: Seller: Waukesha -Pearce Industries Street address: 6450 North Loop 1604 East City, State, ZIP code: San Antonio, TX 75247 Description of items to be purchased or on the attached order or invoice: PRODUCTS AND/OR SERVICES FOR THE EXCLUSIVE USE OF CALHOUN COUNTY. Purchaser claims this exemption for the following reason: EXCLUSIVE USE OF CALHOUN COUNTY, A POLITICAL SUBDIVISION OF THE STATE OF TEXAS. I understand that I will be liable for payment of all state and local sales or use taxes which may become due for failure to comply with the provisions of the Tax Code and/or all applicable law. I understand that itis a criminal offense to give an exemption certificate to the sellerfortaxable items thatl know, atthe time of purchase, will be used in a mannerotherthan thatexpressed in this certificate, and depending on the amount oftax evaded, the offense mayrange from a Class C misdemeanor to a felony of the second degree. here IF For: Cindy Mueller, County Auditor 1 10/11/17 NUIL: I his Cartiloate cannot be issued tot the purcnase, tease, or rental of a motor venae, THIS CERTIFICATE DOES NOT REQUIRE A NUMBER TO BE VALID. 74-6001923 Sales and Use Tax "Exemption Numbers" or "Tax E)iempt" Numbers do not exist. This certificate should be furnished to the supplier. Do not send the completed certificate to the Comptroller of Public Accounts. m ¢ O 2 6 ZOa >m u °im � o9 �t� .... u; w �e 3 o is �fua (I l arl.i �ll ��rt � �i• W IJ N x N €w a VdKOttK a2w W.-o'dg-eo 2Z K wurcw 0, o-8t6tzo 3rc�§ o= za F d° ,QM, O o 0w rc Jia 0.��, a�E°w ua wpw `a L- o �onzoM s agi o wo g$yR0.wB�ry%pogLL MEWd a�wOOSp3N w u $$ 3 Ua K>V'U• Hqd g z 01 w.- gm ,6�M ircZ< �21O� �a3h`B °hO.mwoo�jrc •- o 3 0o.69.-Oh� °oZMzass - ?z"Qtiod ��o �gg'a o3dzrcWa F z WW a0o�w`�§�°3p�yw� wQo `.�5iy $ F y0m °iufids€�8 ..az ofg g=� xtrt'�'S uouo 0 3Mpg "Ogjg M r°roogwu$Qo ox b 0w Q�od¢�¢ okras rc ��; 11d oo No o ¢s° ha W�WFrcF 2�Za Z'ai Wi °Qp-60 WuVwwiwS OV LLOHFS O�Ow{{ E° ofnuyke� ° �rc'd2�u xaa.-. nww�n mm�6 �Yd ra A'. ��w {@Gp ¢2 m O oozo wrc W4 osf�e8 > 0 e[ %wo p �aEg y i rc U'2 S2b4 yg 3g E �x ¢ �� SSS E'B a,. od w" w> Vw dk' tz m 0�0eo wrcz v d $z Iow rcw �a aoN uw ax (]n �L 0 0 0 0 0 0 0 2 0 0 w uao�uw w=� ww�aaa�a„wp F � w, "�° w�whw ° "' u� - m o tc i���� �e .; aW O.-W ow ejozaK ozyowy .0002gulai m �� o 3ixIam O wg ZZ m awLLOp V'pYi o<w ig w ap J6 w w uu011 u� g aw. w � n iF IIj70�� LI �> AwO- �s o 'o w a� �Up FV J y _O d w K�2 r . G mz appfoo HU 3J aLL. rcos WHO 20.3g o z ooh m ¢ C Q p U J O Nt 00 a Y O O O U 0 r 3 O o K a J 2 J F � ] z U Q �Q z_ =o � 'o� ory�w £ U WB. �0O N u�0 H www �LLa off¢ 2 CORPORATE OFFICE WAUKESHA-PEARCE INDUSTRIES, INC. P. 0. Box 35068 Houston, Texas 7723$.5068 APPLICATION FOR OPEN ACCOUNT DISTRICT OFFICE Telephone (713) 723-1050 WAUKESIIA-PEARCE INDUSTRIES, INC. Fox(713)551-0435 ompany Name ("Applicant)' I ba Name (if any): _ Physical Address: I ecount# Ciry� tate: Mailing Address: 1 50 tate VP -11 Nature of Business(Industrv): Kocount Fedcro ldll to Id# tate-0Nine Business Classification: ser ( ) wale ( ) ste of lncorporntion• - ele hone Nunibcr. ( ) ax Number. ( ) •mail Address: -- eOfOrmmi fc -Corporation ( ) Partnershi : ( ) Individuate ( ) LLP; ( ) LLC: ( ) Omer # I and % of Otmership: -____ mrk Oftice wrier #2 and % of Ovnicrshl weer #3 and %ofOwncrship: i rotor #4 and %ofOwnershi: (mer #I Social Security #: Line OfCrediroan caner #2 Social Security #• vmnr 43 Social Security #: caner #4 Social Security # President• Vice President Secreta ; ._ Treasurer uthorized Sign Cor Com nn: uthorized Signor#2 for Com Authorized Si nor Yl l Si nature: Authorized Signor 42 Signature ifan Exemption Certificate Attached Yes ( ) No( ) Number Purchase Order Required Yes ( ) No ( ) Authorized Signamm(S) On P.O. Financial Statement Attached Yes ( ) No ( ) Year(S) Floor Plan ( ) Preseason Program ( ) TRADE REFERS CE ABX ecount# etephone 11 ( ) .__._.__ Mooed rat 2® Kocount etephone # ( ) ddres it tat Zi (3) Account# Telephone If ( ) Address ANK City Stale Zip F.FERENC' -____ mrk Oftice fele hone # ( ) heel Addrea i tat i k Acct. Line OfCrediroan ecured Unsecured Our Credit Department will establish a credit limit covering your monthly purchases based on credit infatuation that you are furnishing. Purchases in any one month in excess of established credit limit will require credit authorization from our Credit Department in Houston. Credit Department authorization will also be required any time account becomes delinquent. All charges are payable at P. 0. Box 204116, Dallas, Texas 75320-4116. A SERVICE CHARGE NOT TO EXCEED THE LEGAL RATE PRESCRIBED BY SPATE LAW WILL BE CHARGED WHEN ACCOUNTS EXCEED OUR STANDARD lERMIS OF SALE. THIS RATE WILL NOT BE LESS THAN ONE PERCENT (M) OF THE BALANCE DUE FOR EACH 30 -DAY PERIOD OF DELINQUENCY. I hereby authorize all banks, lending institutions, trade references, or credit associates to discuss with or to release to Waukesha -Pearce Industries, Inc. ("WPP'), any and all information which they may have pertaining to my credit, financial dealings or transactions, or other similar information. I hereby authorize Waukesha -Pearce Industries, Inc. permission to obtain consumer credit reports in connection with my credit application for approval of commercial business transactions with Waukesha -Pearce Industries, Inc. I authorize Waukesha -Pearce Industries, Inc., to notify any general contractor owner, bond company or other involved party in the extension of credit to me involved for die purpose listed. This notification may occur before, during or after the credit is extended. This authorization is given to aid in determining whether and under what terms to extend credit to me from Waukesha -Pearce Industries, Inc. Accepted Invoices. As to invoices accepted, or to which timely objection is not made as required, it shall be presumed: that the invoice is accurate, that the goods or services referenced on the invoice were ordered by applicant; that the goods or services were received by applicant; that the prices charged are agreed and reasonable prices; that the invoice total is payable to WPI; that applicant agrees to pay the invoices within 30 days of invoice date. pplicant (Printed Name at uthorized SIJ;natUr WPI -A-401 (Rev. 02!15) itl BOND AND CONTRACTOR CREDIT CHECK FORM Sub -Contractor (Purchaser) Phone No IV. Owner Address Phone No. Contact V. Scheduled Ship VI. VIL Retainage VIII. Comments YES NO Amount/or Percentage. O BE COMPLETED BY WPI EMPLOYSF. TRADE REFERENCES: (1) How Long Sold Terms H.C. $ Curr Bat $ Pay (2) How Long Sold Terms H.C. $ Curr Bat $ Pay_ (3) How Long Sold Terms H.C. $ Curr Bat $ Pay BANK REFERENCE(S): (1) Ck Acct Opening Date_ Avg. Bat Curr Bat Satisfactory _ Lns Opening Date H.C. Curr Bat Sec. By Unsec. (2) Ck Acct Opening Date__,- Avg. Bat Curr Bal Satisfactory_ Lns Opening Date H.C. Curr Bat Sec. By Unsec. ------------------------------------------------------------------- DISTRICTMANAGER'S OR SALESMAN'S CONC IEN ---------------------- YPE OF EQUIPMENT BEING PURCHASE MODEL & YEAR SERIAL _ SUGGESTED CREDIT LI�QT; 1SSIGNED SALESMAN NAME AND NUIYIBER: DATEWPIEMPLOYEE'S SIGNATURE I Calhoun County Coinmissioners' Court — October 12, 2017 30. PUBLIC DISCUSSION OF COUNTY MATTERS. COURT ADJOURNED: 10:30 AM Page 28 of 28